| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $17.51 | $17.51 | $17.51 | |
Aetna
| Professional | $17.51 | $21.28 | $34.21 | |
Cigna
| Facility | $26.82 | $29.78 | $47.66 | |
Cigna
| Professional | $21.74 | $21.74 | $41.73 | |
Emblem Health
| Professional | $43.54 | $43.85 | $62.43 | |
Horizon BCBS
| Professional | $45.36 | $47.66 | $47.66 | |
United
| Professional | $21.49 | $24.73 | $43.75 |