| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $48.00 | $48.00 | $48.00 | |
Aetna
| Professional | $17.66 | $42.65 | $48.00 | |
Cigna
| Professional | $19.50 | $123.84 | $152.82 | |
Emblem Health
| Professional | $33.78 | $33.78 | $33.78 | |
Horizon BCBS
| Professional | $122.83 | $144.50 | $144.50 |