| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $12.73 | $12.73 | $12.73 | |
Aetna
| Professional | $12.73 | $16.34 | $20.61 | |
Cigna
| Facility | $24.80 | $24.80 | $37.40 | |
Cigna
| Professional | $18.10 | $18.10 | $32.74 | |
Emblem Health
| Professional | $34.15 | $34.40 | $48.99 | |
Horizon BCBS
| Professional | $36.52 | $37.40 | $37.40 | |
United
| Professional | $16.84 | $18.67 | $31.11 |