| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $92.42 | $92.42 | $559.53 | |
Aetna
| Professional | $31.54 | $37.39 | $92.42 | |
AmeriHealth
| Professional | $141.60 | $141.60 | $141.60 | |
Cigna
| Professional | $20.99 | $20.99 | $20.99 | |
Emblem Health
| Professional | $54.02 | $67.40 | $90.04 | |
Horizon BCBS
| Professional | $33.36 | $33.36 | $33.36 | |
United
| Professional | $22.28 | $25.66 | $33.84 |