| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $35.54 | $35.54 | $35.54 | |
Aetna
| Professional | $35.54 | $47.91 | $58.37 | |
Cigna
| Facility | $62.58 | $73.27 | $104.40 | |
Cigna
| Professional | $53.49 | $53.49 | $91.42 | |
Emblem Health
| Professional | $95.38 | $96.05 | $136.76 | |
Horizon BCBS
| Professional | $101.95 | $104.40 | $104.40 | |
United
| Professional | $44.02 | $52.09 | $95.85 |