| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $18.14 | $18.14 | $18.14 | |
Aetna
| Professional | $18.14 | $22.04 | $32.10 | |
Cigna
| Facility | $40.14 | $40.14 | $49.35 | |
Cigna
| Professional | $34.11 | $34.11 | $43.21 | |
Emblem Health
| Professional | $45.09 | $45.40 | $64.65 | |
Horizon BCBS
| Professional | $22.83 | $22.83 | $32.82 | |
United
| Professional | $22.26 | $25.62 | $49.35 |