| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $50.56 | $50.56 | $50.56 | |
Aetna
| Professional | $41.23 | $49.21 | $77.23 | |
Cigna
| Facility | $37.95 | $37.95 | $37.95 | |
Cigna
| Professional | $27.70 | $27.70 | $78.06 | |
Emblem Health
| Professional | $108.83 | $108.83 | $108.83 | |
Horizon BCBS
| Professional | $110.01 | $110.01 | $110.01 | |
United
| Professional | $52.37 | $62.19 | $115.59 |