| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $25.11 | $25.11 | $25.11 | |
Aetna
| Professional | $25.11 | $31.75 | $43.79 | |
Cigna
| Facility | $36.72 | $36.72 | $73.77 | |
Cigna
| Professional | $26.81 | $26.81 | $64.59 | |
Emblem Health
| Professional | $67.38 | $67.87 | $96.64 | |
Horizon BCBS
| Professional | $72.04 | $73.77 | $73.77 | |
United
| Professional | $30.55 | $36.79 | $67.72 |