| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $48.43 | $48.43 | $48.43 | |
Aetna
| Professional | $48.43 | $70.90 | $84.10 | |
Cigna
| Facility | $82.32 | $85.16 | $142.24 | |
Cigna
| Professional | $62.17 | $62.17 | $226.88 | |
Emblem Health
| Professional | $129.94 | $130.86 | $186.33 | |
Horizon BCBS
| Professional | $138.91 | $142.24 | $142.24 | |
United
| Professional | $61.73 | $70.95 | $142.24 |