| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $68.33 | $68.33 | $68.33 | |
Aetna
| Professional | $57.91 | $63.94 | $77.54 | |
Cigna
| Professional | $66.06 | $66.06 | $66.06 | |
Emblem Health
| Professional | $103.94 | $103.94 | $103.94 | |
Horizon BCBS
| Professional | $60.89 | $71.63 | $73.72 | |
United
| Professional | $53.54 | $85.27 | $147.33 |