| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $53.42 | $53.42 | $53.42 | |
Aetna
| Professional | $49.11 | $61.41 | $86.26 | |
Cigna
| Facility | $76.68 | $76.68 | $96.30 | |
Cigna
| Professional | $55.98 | $55.98 | $111.38 | |
Emblem Health
| Professional | $88.60 | $105.93 | $143.36 | |
Horizon BCBS
| Professional | $96.30 | $130.47 | $130.47 | |
United
| Facility | $54.10 | $71.01 | $96.30 | |
United
| Professional | $65.05 | $78.29 | $131.62 |