| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $48.54 | $48.54 | $48.54 | |
Aetna
| Professional | $41.27 | $44.27 | $55.75 | |
Cigna
| Professional | $44.04 | $44.04 | $44.04 | |
Emblem Health
| Professional | $68.64 | $68.64 | $68.64 | |
Horizon BCBS
| Professional | $42.53 | $50.04 | $51.36 | |
United
| Professional | $34.11 | $60.63 | $102.63 |