| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $53.97 | $53.97 | $53.97 | |
Aetna
| Professional | $43.93 | $52.44 | $82.30 | |
Cigna
| Facility | $69.84 | $69.84 | $69.84 | |
Cigna
| Professional | $50.99 | $50.99 | $83.04 | |
Emblem Health
| Professional | $95.88 | $95.88 | $95.88 | |
Horizon BCBS
| Professional | $50.00 | $50.00 | $112.60 | |
United
| Professional | $55.81 | $63.86 | $105.98 |