| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $69.18 | $69.18 | $69.18 | |
Aetna
| Professional | $57.54 | $64.57 | $79.43 | |
Cigna
| Professional | $66.07 | $66.07 | $66.07 | |
Emblem Health
| Professional | $107.15 | $107.15 | $107.15 | |
Horizon BCBS
| Professional | $61.66 | $74.13 | $102.33 | |
United
| Professional | $54.95 | $79.43 | $138.04 |