| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $18.20 | $18.20 | $18.20 | |
Aetna
| Professional | $20.89 | $26.92 | $48.98 | |
Cigna
| Facility | $31.62 | $31.62 | $56.23 | |
Cigna
| Professional | $22.91 | $22.91 | $31.62 | |
Emblem Health
| Professional | $36.31 | $58.88 | $81.28 | |
Horizon BCBS
| Professional | $37.15 | $37.15 | $37.15 | |
United
| Facility | $19.05 | $54.95 | $69.18 | |
United
| Professional | $24.55 | $27.54 | $43.65 |