| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $70.22 | $70.22 | $70.22 | |
Aetna
| Professional | $57.28 | $68.37 | $100.75 | |
Cigna
| Facility | $139.08 | $139.08 | $139.08 | |
Cigna
| Professional | $101.53 | $101.53 | $225.75 | |
Emblem Health
| Professional | $300.20 | $300.20 | $300.20 | |
Horizon BCBS
| Professional | $143.68 | $143.68 | $146.82 | |
United
| Professional | $72.77 | $86.27 | $128.52 |