| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $46.14 | $46.14 | $46.14 | |
Aetna
| Professional | $33.20 | $38.71 | $50.50 | |
Cigna
| Professional | $42.56 | $42.56 | $42.56 | |
Emblem Health
| Professional | $70.02 | $70.02 | $70.02 | |
Horizon BCBS
| Professional | $42.04 | $49.46 | $51.71 | |
United
| Professional | $36.07 | $54.30 | $87.84 |