| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $23.53 | $23.53 | $23.53 | |
Aetna
| Professional | $23.53 | $28.13 | $35.25 | |
Cigna
| Facility | $34.54 | $34.54 | $64.01 | |
Cigna
| Professional | $25.21 | $25.21 | $56.05 | |
Emblem Health
| Professional | $58.48 | $58.89 | $83.85 | |
Horizon BCBS
| Professional | $62.51 | $64.01 | $64.01 | |
United
| Professional | $28.74 | $31.93 | $58.77 |