| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $32.47 | $32.47 | $32.47 | |
Aetna
| Professional | $12.26 | $23.44 | $32.47 | |
Cigna
| Professional | $13.74 | $13.74 | $13.74 | |
Emblem Health
| Professional | $35.36 | $44.12 | $58.94 | |
Horizon BCBS
| Professional | $21.84 | $21.84 | $21.84 | |
United
| Professional | $14.28 | $16.80 | $22.40 |