| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $33.88 | $33.88 | $33.88 | |
Aetna
| Professional | $6.03 | $15.14 | $21.88 | |
Cigna
| Professional | $0.12 | $0.12 | $0.12 | |
Emblem Health
| Professional | $38,018.94 | $38,018.94 | $38,018.94 | |
United
| Professional | $72.44 | $72.44 | $72.44 |