| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $30.55 | $30.55 | $30.55 | |
Aetna
| Professional | $30.55 | $40.86 | $83.39 | |
Cigna
| Facility | $61.54 | $61.54 | $89.75 | |
Cigna
| Professional | $44.92 | $61.54 | $133.13 | |
Emblem Health
| Professional | $82.00 | $82.57 | $117.57 | |
Horizon BCBS
| Professional | $85.43 | $89.75 | $89.75 | |
United
| Professional | $37.21 | $44.78 | $89.75 |