| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $83.93 | $103.23 | $220.26 | |
Aetna
| Professional | $68.13 | $81.95 | $83.93 | |
Cigna
| Professional | $69.67 | $69.67 | $98.74 | |
Emblem Health
| Professional | $83.93 | $83.93 | $98.74 | |
Horizon BCBS
| Professional | $83.93 | $83.93 | $83.93 | |
United
| Professional | $98.74 | $103.49 | $109.92 |