| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $105.75 | $105.75 | $105.75 | |
Aetna
| Professional | $74.53 | $105.83 | $130.19 | |
Cigna
| Professional | $62.01 | $62.01 | $62.01 | |
Emblem Health
| Professional | $159.59 | $199.11 | $265.98 | |
Horizon BCBS
| Professional | $98.58 | $98.58 | $98.58 | |
United
| Professional | $65.83 | $75.83 | $94.04 |