| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $18.66 | $18.66 | $18.66 | |
Aetna
| Professional | $15.21 | $18.14 | $26.75 | |
Cigna
| Facility | $54.94 | $54.94 | $54.94 | |
Cigna
| Professional | $40.11 | $40.11 | $54.94 | |
Emblem Health
| Professional | $50.77 | $50.77 | $50.77 | |
Horizon BCBS
| Professional | $38.97 | $45.67 | $53.73 | |
United
| Professional | $19.32 | $22.74 | $34.79 |