| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $37.89 | $37.89 | $37.89 | |
Aetna
| Professional | $14.26 | $25.13 | $37.89 | |
Cigna
| Professional | $14.73 | $14.73 | $14.73 | |
Emblem Health
| Professional | $37.90 | $47.29 | $63.18 | |
Horizon BCBS
| Professional | $23.42 | $23.42 | $23.42 | |
United
| Professional | $15.63 | $18.01 | $24.02 |