| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $32.59 | $32.59 | $32.59 | |
Aetna
| Professional | $32.59 | $41.66 | $52.68 | |
Cigna
| Facility | $66.58 | $66.58 | $95.72 | |
Cigna
| Professional | $48.60 | $48.60 | $83.82 | |
Emblem Health
| Professional | $87.45 | $88.06 | $125.39 | |
Horizon BCBS
| Professional | $63.67 | $70.00 | $70.00 | |
United
| Professional | $39.68 | $47.75 | $95.72 |