| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $33.52 | $135.55 | $200.72 | |
Aetna
| Professional | $27.37 | $33.52 | $33.52 | |
Cigna
| Facility | $34.29 | $77.23 | $160.79 | |
Cigna
| Professional | $18.45 | $18.45 | $18.45 | |
Emblem Health
| Professional | $36.84 | $45.97 | $63.93 | |
Horizon BCBS
| Facility | $24.56 | $3,243.00 | $13,785.00 | |
United
| Professional | $14.74 | $21.05 | $48.14 |