| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $68.69 | $68.69 | $68.69 | |
Aetna
| Professional | $25.91 | $58.30 | $68.69 | |
Cigna
| Professional | $34.15 | $34.15 | $34.15 | |
Emblem Health
| Professional | $87.91 | $109.67 | $146.51 | |
Horizon BCBS
| Professional | $54.30 | $54.30 | $54.30 | |
United
| Professional | $36.26 | $41.77 | $51.80 |