| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $15.85 | $33.88 | $37.15 | |
Cigna
| Professional | $22.91 | $22.91 | $22.91 | |
Emblem Health
| Professional | $45.71 | $57.54 | $81.28 | |
Horizon BCBS
| Facility | $218.78 | $16,218.10 | $19,498.45 | |
Horizon BCBS
| Professional | $43.65 | $50.12 | $50.12 | |
United
| Professional | $14.79 | $26.30 | $42.66 |