| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $52.73 | $52.73 | $52.73 | |
Aetna
| Professional | $36.83 | $51.55 | $58.80 | |
Cigna
| Professional | $44.04 | $44.04 | $44.04 | |
Emblem Health
| Professional | $68.64 | $68.64 | $68.64 | |
Horizon BCBS
| Professional | $51.20 | $60.24 | $61.79 | |
United
| Professional | $36.07 | $62.88 | $104.96 |