| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $49.54 | $49.54 | $49.54 | |
Aetna
| Professional | $21.53 | $34.81 | $51.09 | |
Cigna
| Professional | $17.91 | $17.91 | $17.91 | |
Emblem Health
| Professional | $46.10 | $57.51 | $76.83 | |
Horizon BCBS
| Professional | $28.47 | $28.47 | $28.47 | |
United
| Professional | $18.62 | $21.90 | $27.16 |