| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $21.97 | $24.08 | $24.08 | |
Aetna
| Professional | $17.82 | $23.44 | $29.19 | |
Cigna
| Professional | $29.16 | $29.16 | $29.16 | |
Emblem Health
| Professional | $41.46 | $45.68 | $53.64 | |
Horizon BCBS
| Facility | $58.44 | $58.44 | $147.11 | |
Horizon BCBS
| Professional | $20.50 | $24.12 | $24.79 | |
United
| Professional | $21.62 | $28.38 | $56.91 |