| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $9.69 | $9.69 | $9.69 | |
Aetna
| Professional | $9.69 | $11.48 | $17.82 | |
Cigna
| Facility | $14.76 | $16.89 | $26.38 | |
Cigna
| Professional | $12.34 | $12.34 | $23.10 | |
Emblem Health
| Professional | $24.09 | $24.27 | $34.56 | |
Horizon BCBS
| Professional | $25.76 | $26.38 | $26.38 | |
United
| Professional | $11.89 | $14.51 | $26.38 |