| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $20.87 | $20.87 | $20.87 | |
Aetna
| Professional | $20.87 | $26.68 | $33.75 | |
Cigna
| Facility | $35.07 | $35.07 | $61.32 | |
Cigna
| Professional | $25.60 | $25.60 | $53.69 | |
Emblem Health
| Professional | $56.01 | $56.41 | $80.33 | |
Horizon BCBS
| Professional | $28.68 | $28.68 | $40.78 | |
United
| Professional | $25.42 | $30.59 | $61.32 |