| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $35.88 | $35.88 | $35.88 | |
Aetna
| Professional | $35.88 | $182.86 | $398.15 | |
Cigna
| Professional | $6.56 | $179.84 | $179.84 | |
Emblem Health
| Professional | $167.90 | $167.90 | $167.90 | |
Horizon BCBS
| Professional | $20.01 | $29.75 | $35.00 |