| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $58.29 | $58.29 | $58.29 | |
Aetna
| Professional | $22.36 | $38.19 | $69.81 | |
Cigna
| Professional | $14.88 | $14.88 | $14.88 | |
Emblem Health
| Professional | $38.29 | $47.78 | $63.82 | |
Horizon BCBS
| Professional | $23.66 | $23.66 | $23.66 | |
United
| Professional | $15.47 | $18.20 | $22.61 |