| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $38.29 | $38.29 | $38.29 | |
Aetna
| Professional | $11.58 | $16.44 | $38.29 | |
Cigna
| Professional | $9.63 | $9.63 | $9.63 | |
Emblem Health
| Professional | $24.79 | $30.93 | $41.32 | |
Horizon BCBS
| Professional | $15.32 | $15.32 | $15.32 | |
United
| Professional | $10.22 | $11.78 | $16.23 |