| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $77.02 | $77.02 | $77.02 | |
Aetna
| Professional | $23.13 | $32.86 | $77.02 | |
Cigna
| Professional | $19.25 | $19.25 | $19.25 | |
Emblem Health
| Professional | $49.54 | $61.81 | $82.57 | |
Horizon BCBS
| Professional | $30.60 | $30.60 | $30.60 | |
United
| Professional | $20.44 | $23.54 | $29.92 |