| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $32.51 | $32.51 | $32.51 | |
Aetna
| Professional | $32.51 | $39.54 | $57.61 | |
Cigna
| Facility | $50.66 | $50.66 | $88.48 | |
Cigna
| Professional | $36.97 | $36.97 | $77.48 | |
Emblem Health
| Professional | $80.81 | $81.40 | $115.91 | |
Horizon BCBS
| Professional | $86.41 | $88.48 | $88.48 | |
United
| Professional | $39.89 | $47.30 | $88.48 |