| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $24.84 | $24.84 | $24.84 | |
Aetna
| Professional | $24.84 | $30.84 | $43.73 | |
Cigna
| Facility | $55.83 | $55.83 | $72.97 | |
Cigna
| Professional | $40.76 | $40.76 | $94.50 | |
Emblem Health
| Professional | $66.67 | $67.13 | $95.59 | |
Horizon BCBS
| Professional | $63.89 | $71.26 | $72.97 | |
United
| Professional | $30.01 | $36.40 | $72.97 |