| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $42.47 | $42.47 | $42.47 | |
Aetna
| Professional | $15.94 | $23.10 | $42.47 | |
AmeriHealth
| Professional | $63.75 | $63.75 | $63.75 | |
Cigna
| Professional | $13.54 | $13.54 | $13.54 | |
Emblem Health
| Professional | $34.84 | $43.47 | $58.07 | |
Horizon BCBS
| Professional | $21.51 | $21.51 | $21.51 | |
United
| Professional | $14.06 | $16.55 | $22.81 |