| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $29.53 | $29.53 | $29.53 | |
Aetna
| Professional | $29.53 | $37.74 | $52.44 | |
Cigna
| Facility | $56.02 | $56.02 | $86.72 | |
Cigna
| Professional | $40.89 | $40.89 | $103.13 | |
Emblem Health
| Professional | $79.23 | $79.78 | $113.60 | |
Horizon BCBS
| Professional | $57.69 | $57.69 | $57.69 | |
United
| Professional | $39.07 | $43.27 | $72.11 |