| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $27.90 | $27.90 | $27.90 | |
Aetna
| Professional | $27.90 | $35.65 | $47.76 | |
Cigna
| Facility | $54.54 | $54.54 | $81.95 | |
Cigna
| Professional | $39.81 | $39.81 | $71.76 | |
Emblem Health
| Professional | $74.87 | $75.39 | $107.35 | |
Horizon BCBS
| Professional | $80.03 | $81.95 | $81.95 | |
United
| Professional | $34.52 | $40.88 | $81.95 |