| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $74.64 | $74.64 | $74.64 | |
Aetna
| Professional | $61.00 | $72.81 | $107.29 | |
Cigna
| Facility | $56.50 | $56.50 | $56.50 | |
Cigna
| Professional | $41.25 | $41.25 | $115.26 | |
Emblem Health
| Professional | $251.61 | $251.61 | $251.61 | |
Horizon BCBS
| Professional | $156.34 | $182.15 | $214.29 | |
United
| Professional | $77.48 | $91.20 | $136.86 |