| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $33.59 | $33.59 | $33.59 | |
Aetna
| Professional | $29.21 | $38.61 | $54.24 | |
Cigna
| Facility | $55.67 | $57.67 | $57.67 | |
Cigna
| Professional | $42.10 | $42.10 | $90.00 | |
Emblem Health
| Professional | $51.22 | $61.24 | $90.14 | |
Horizon BCBS
| Professional | $55.67 | $82.04 | $82.04 | |
United
| Professional | $38.40 | $49.22 | $81.06 |