| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $69.69 | $69.69 | $69.69 | |
Aetna
| Professional | $58.63 | $63.66 | $80.41 | |
Cigna
| Professional | $65.77 | $65.77 | $65.77 | |
Emblem Health
| Professional | $102.38 | $102.38 | $102.38 | |
Horizon BCBS
| Professional | $60.81 | $71.54 | $73.31 | |
United
| Professional | $52.74 | $88.67 | $146.53 |