| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $44.96 | $44.96 | $44.96 | |
Aetna
| Professional | $14.90 | $17.67 | $44.96 | |
AmeriHealth
| Professional | $15.09 | $33.11 | $40.18 | |
Cigna
| Professional | $9.92 | $9.92 | $9.92 | |
Emblem Health
| Professional | $25.53 | $31.85 | $42.54 | |
Horizon BCBS
| Professional | $15.77 | $15.77 | $15.77 | |
United
| Professional | $10.54 | $12.13 | $15.07 |