| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $40.38 | $40.38 | $40.38 | |
Aetna
| Professional | $15.18 | $33.08 | $40.38 | |
Cigna
| Professional | $19.38 | $19.38 | $19.38 | |
Emblem Health
| Professional | $49.89 | $62.24 | $83.14 | |
Horizon BCBS
| Professional | $30.81 | $30.81 | $30.81 | |
United
| Professional | $20.14 | $23.70 | $31.24 |