| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $30.93 | $30.93 | $30.93 | |
Aetna
| Professional | $30.93 | $39.54 | $51.86 | |
Cigna
| Facility | $56.56 | $56.56 | $90.85 | |
Cigna
| Professional | $41.29 | $41.29 | $79.55 | |
Emblem Health
| Professional | $83.01 | $83.58 | $119.01 | |
Horizon BCBS
| Professional | $88.72 | $90.85 | $90.85 | |
United
| Professional | $40.93 | $45.32 | $75.54 |