| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $91.59 | $91.59 | $91.59 | |
Aetna
| Professional | $29.98 | $48.48 | $94.43 | |
Cigna
| Professional | $24.95 | $24.95 | $24.95 | |
Emblem Health
| Professional | $64.20 | $80.09 | $107.00 | |
Horizon BCBS
| Professional | $39.65 | $39.65 | $39.65 | |
United
| Professional | $26.47 | $30.50 | $38.72 |