| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $25.70 | $25.70 | $25.70 | |
Aetna
| Professional | $1.95 | $25.70 | $35.48 | |
Cigna
| Facility | $64.57 | $64.57 | $64.57 | |
Cigna
| Professional | $8.32 | $8.32 | $8.32 | |
Emblem Health
| Professional | $8.32 | $8.32 | $8.32 | |
Horizon BCBS
| Professional | $6.76 | $6.76 | $7.94 | |
United
| Professional | $10.96 | $15.85 | $28.18 |