| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $55.37 | $55.37 | $55.37 | |
Aetna
| Professional | $45.12 | $53.85 | $79.36 | |
Cigna
| Facility | $75.05 | $75.05 | $75.05 | |
Cigna
| Professional | $54.79 | $54.79 | $101.25 | |
Emblem Health
| Professional | $112.58 | $112.58 | $112.58 | |
Horizon BCBS
| Professional | $115.64 | $134.93 | $158.74 | |
United
| Professional | $57.31 | $67.45 | $102.58 |