| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $37.10 | $37.10 | $37.10 | |
Aetna
| Professional | $33.06 | $42.65 | $62.39 | |
Cigna
| Facility | $65.36 | $67.20 | $77.70 | |
Cigna
| Professional | $49.06 | $49.06 | $83.87 | |
Emblem Health
| Professional | $60.13 | $71.90 | $99.56 | |
Horizon BCBS
| Professional | $65.36 | $90.61 | $90.61 | |
United
| Facility | $105.88 | $124.56 | $149.47 | |
United
| Professional | $46.84 | $54.37 | $91.73 |