| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $35.92 | $35.92 | $35.92 | |
Aetna
| Professional | $32.74 | $38.26 | $54.30 | |
Cigna
| Facility | $45.81 | $45.81 | $97.76 | |
Cigna
| Professional | $33.44 | $33.44 | $85.50 | |
Emblem Health
| Professional | $89.31 | $89.94 | $128.07 | |
Horizon BCBS
| Professional | $95.47 | $97.76 | $97.76 | |
United
| Professional | $36.58 | $48.77 | $97.76 |