| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $25.00 | $25.00 | $25.00 | |
Aetna
| Professional | $25.00 | $25.00 | $25.00 | |
Cigna
| Professional | $7.65 | $7.65 | $30.75 | |
Emblem Health
| Professional | $22.52 | $22.52 | $22.52 | |
Horizon BCBS
| Professional | $15.00 | $17.00 | $20.00 |