| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $12.72 | $12.72 | $12.72 | |
Aetna
| Professional | $12.72 | $16.25 | $20.58 | |
Cigna
| Facility | $21.38 | $21.38 | $37.36 | |
Cigna
| Professional | $15.61 | $15.61 | $32.71 | |
Emblem Health
| Professional | $34.11 | $34.36 | $48.94 | |
Horizon BCBS
| Professional | $36.47 | $37.36 | $37.36 | |
United
| Professional | $15.50 | $18.64 | $34.29 |