| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $52.77 | $52.77 | $52.77 | |
Aetna
| Professional | $36.82 | $50.43 | $59.60 | |
Cigna
| Professional | $43.15 | $43.15 | $43.15 | |
Emblem Health
| Professional | $67.20 | $67.20 | $67.20 | |
Horizon BCBS
| Professional | $51.23 | $60.27 | $61.84 | |
United
| Professional | $35.54 | $64.68 | $105.05 |