| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $20.38 | $20.38 | $20.38 | |
Aetna
| Professional | $20.38 | $26.05 | $36.19 | |
Cigna
| Facility | $34.22 | $34.22 | $59.84 | |
Cigna
| Professional | $24.98 | $24.98 | $57.46 | |
Emblem Health
| Professional | $54.68 | $55.05 | $78.39 | |
Horizon BCBS
| Professional | $58.44 | $59.84 | $59.84 | |
United
| Professional | $24.81 | $29.86 | $59.84 |