| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $29.33 | $29.34 | $29.34 | |
Aetna
| Professional | $29.34 | $44.69 | $53.85 | |
AmeriHealth
| Professional | $63.75 | $63.75 | $63.75 | |
Cigna
| Facility | $53.85 | $53.85 | $86.18 | |
Cigna
| Professional | $39.31 | $76.66 | $91.74 | |
Emblem Health
| Professional | $78.73 | $79.29 | $112.90 | |
Horizon BCBS
| Professional | $84.16 | $86.18 | $86.18 | |
United
| Professional | $38.86 | $43.00 | $79.12 |