| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $46.76 | $59.58 | $112.38 | |
AmeriHealth
| Professional | $82.41 | $82.41 | $82.41 | |
Cigna
| Facility | $45.00 | $45.00 | $45.00 | |
Cigna
| Professional | $38.25 | $45.00 | $153.38 | |
Emblem Health
| Professional | $116.11 | $116.11 | $139.44 | |
Horizon BCBS
| Professional | $87.09 | $87.09 | $87.09 | |
United
| Professional | $58.78 | $70.41 | $133.75 |