| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $21.23 | $21.23 | $21.23 | |
Aetna
| Professional | $7.97 | $11.55 | $21.23 | |
AmeriHealth
| Professional | $68.00 | $68.00 | $68.00 | |
Cigna
| Professional | $6.76 | $6.76 | $6.76 | |
Emblem Health
| Professional | $17.41 | $21.72 | $29.02 | |
Horizon BCBS
| Professional | $10.76 | $10.76 | $10.76 | |
United
| Professional | $7.18 | $8.27 | $10.78 |