| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $18.51 | $18.52 | $18.52 | |
Aetna
| Professional | $18.52 | $27.49 | $44.68 | |
Cigna
| Facility | $36.61 | $36.61 | $54.42 | |
Cigna
| Professional | $26.73 | $26.73 | $57.93 | |
Emblem Health
| Professional | $49.71 | $50.07 | $71.29 | |
Horizon BCBS
| Professional | $53.14 | $54.42 | $54.42 | |
United
| Professional | $24.53 | $27.98 | $54.42 |