| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $15.80 | $15.80 | $15.80 | |
Aetna
| Professional | $13.63 | $15.49 | $18.59 | |
Cigna
| Professional | $15.77 | $15.77 | $15.77 | |
Emblem Health
| Professional | $23.83 | $23.83 | $23.83 | |
Horizon BCBS
| Professional | $14.14 | $16.63 | $16.84 | |
United
| Professional | $12.27 | $19.14 | $33.65 |