| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $19.95 | $30.20 | $44.67 | |
Cigna
| Facility | $38.02 | $38.02 | $38.02 | |
Cigna
| Professional | $32.36 | $38.02 | $67.61 | |
Emblem Health
| Professional | $38.02 | $53.70 | $56.23 | |
Horizon BCBS
| Professional | $38.02 | $38.02 | $41.69 | |
United
| Facility | $2.95 | $22.91 | $63.10 | |
United
| Professional | $23.44 | $33.11 | $53.70 |