| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $38.36 | $38.36 | $38.36 | |
Aetna
| Professional | $24.07 | $38.36 | $51.27 | |
Cigna
| Professional | $38.69 | $38.69 | $38.69 | |
Emblem Health
| Professional | $42.71 | $57.90 | $82.11 | |
Horizon BCBS
| Professional | $32.06 | $37.72 | $38.47 | |
United
| Professional | $32.61 | $44.38 | $84.91 |