| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $163.62 | $163.62 | $163.62 | |
Aetna
| Professional | $61.78 | $102.61 | $163.62 | |
Cigna
| Professional | $60.12 | $60.12 | $60.12 | |
Emblem Health
| Professional | $154.74 | $193.05 | $257.89 | |
Horizon BCBS
| Professional | $95.57 | $95.57 | $95.57 | |
United
| Professional | $62.49 | $73.52 | $101.30 |