| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $43.30 | $53.26 | $113.63 | |
Aetna
| Professional | $35.15 | $42.28 | $43.30 | |
Cigna
| Facility | $25.08 | $28.87 | $32.46 | |
Cigna
| Professional | $28.87 | $28.87 | $28.87 | |
Emblem Health
| Professional | $43.30 | $43.30 | $50.94 | |
Horizon BCBS
| Professional | $47.21 | $47.21 | $47.21 | |
United
| Professional | $40.53 | $42.76 | $45.12 |