| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $75.00 | $75.00 | $75.00 | |
Aetna
| Professional | $56.37 | $68.84 | $82.50 | |
Cigna
| Facility | $83.71 | $83.71 | $144.04 | |
Cigna
| Professional | $38.19 | $61.11 | $126.13 | |
Emblem Health
| Professional | $131.59 | $132.52 | $188.69 | |
Horizon BCBS
| Professional | $140.66 | $144.04 | $144.04 | |
United
| Facility | $51.71 | $65.33 | $144.04 | |
United
| Professional | $65.33 | $71.86 | $144.04 |