| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $28.21 | $36.97 | $69.84 | |
Cigna
| Facility | $54.52 | $54.52 | $54.52 | |
Cigna
| Professional | $46.34 | $54.52 | $96.38 | |
Emblem Health
| Professional | $76.44 | $76.44 | $84.13 | |
Horizon BCBS
| Professional | $55.94 | $55.94 | $55.94 | |
United
| Professional | $35.04 | $48.18 | $68.29 |