| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $56.37 | $57.92 | $57.92 | |
Aetna
| Professional | $45.00 | $61.46 | $74.90 | |
Cigna
| Professional | $57.73 | $57.73 | $57.73 | |
Emblem Health
| Professional | $81.73 | $89.98 | $105.75 | |
Horizon BCBS
| Facility | $390.62 | $390.62 | $793.32 | |
Horizon BCBS
| Professional | $43.15 | $50.76 | $51.99 | |
United
| Professional | $45.10 | $70.06 | $131.87 |