| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $18.39 | $18.39 | $18.39 | |
Aetna
| Professional | $18.39 | $26.37 | $35.42 | |
Cigna
| Facility | $30.91 | $30.91 | $54.04 | |
Cigna
| Professional | $22.56 | $22.56 | $47.31 | |
Emblem Health
| Professional | $49.36 | $49.72 | $70.79 | |
Horizon BCBS
| Professional | $52.77 | $54.04 | $54.04 | |
United
| Professional | $22.41 | $26.95 | $49.64 |