| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $62.84 | $62.84 | $67.23 | |
Aetna
| Professional | $46.80 | $54.95 | $67.23 | |
Cigna
| Facility | $78.31 | $78.31 | $78.31 | |
Cigna
| Professional | $55.95 | $55.95 | $55.95 | |
Emblem Health
| Professional | $71.59 | $87.60 | $120.18 | |
Horizon BCBS
| Professional | $53.81 | $63.31 | $64.98 | |
United
| Professional | $49.46 | $68.20 | $126.93 |