| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $11.49 | $11.49 | $11.49 | |
Aetna
| Professional | $11.49 | $12.24 | $18.70 | |
Cigna
| Facility | $18.44 | $18.44 | $31.25 | |
Cigna
| Professional | $13.46 | $13.46 | $27.37 | |
Emblem Health
| Professional | $28.57 | $28.75 | $40.94 | |
Horizon BCBS
| Professional | $30.52 | $31.25 | $31.25 | |
United
| Professional | $14.03 | $16.71 | $31.25 |