| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $5.37 | $60.57 | $60.58 | |
Aetna
| Professional | $4.58 | $9.00 | $64.95 | |
Ambetter
| Professional | $5.01 | $5.01 | $5.01 | |
AmeriHealth
| Professional | $56.25 | $56.25 | $416.25 | |
Cigna
| Professional | $50.59 | $50.59 | $50.59 | |
Emblem Health
| Professional | $59.62 | $83.79 | $106.37 | |
Horizon BCBS
| Professional | $46.87 | $55.14 | $57.82 | |
United
| Professional | $45.07 | $62.64 | $119.04 |