| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $35.59 | $35.59 | $35.59 | |
Aetna
| Professional | $35.59 | $52.87 | $65.92 | |
Cigna
| Facility | $66.37 | $66.37 | $104.55 | |
Cigna
| Professional | $48.45 | $48.45 | $91.55 | |
Emblem Health
| Professional | $95.52 | $96.19 | $136.96 | |
Horizon BCBS
| Professional | $69.54 | $69.54 | $69.54 | |
United
| Professional | $46.94 | $52.16 | $99.55 |