| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $63.10 | $63.10 | $63.10 | |
Aetna
| Professional | $48.98 | $70.79 | $144.54 | |
Cigna
| Professional | $64.57 | $64.57 | $64.57 | |
Emblem Health
| Professional | $66.07 | $89.13 | $125.89 | |
Horizon BCBS
| Professional | $57.54 | $67.61 | $109.65 | |
United
| Professional | $48.98 | $72.44 | $134.90 |