| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $18.84 | $18.84 | $18.84 | |
Aetna
| Professional | $18.84 | $24.08 | $31.64 | |
Cigna
| Facility | $33.22 | $33.22 | $55.34 | |
Cigna
| Professional | $24.25 | $24.25 | $48.45 | |
Emblem Health
| Professional | $50.55 | $50.91 | $72.50 | |
Horizon BCBS
| Professional | $36.81 | $36.81 | $36.81 | |
United
| Professional | $22.95 | $27.61 | $55.34 |