| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $82.02 | $82.02 | $82.02 | |
Aetna
| Professional | $30.97 | $51.33 | $82.02 | |
Cigna
| Professional | $30.08 | $30.08 | $30.08 | |
Emblem Health
| Professional | $77.42 | $96.59 | $129.03 | |
Horizon BCBS
| Professional | $47.82 | $47.82 | $47.82 | |
United
| Professional | $31.27 | $36.79 | $50.66 |