| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $21.65 | $21.65 | $21.65 | |
Aetna
| Professional | $5.05 | $8.13 | $21.65 | |
Cigna
| Professional | $4.20 | $4.20 | $4.20 | |
Emblem Health
| Professional | $10.80 | $13.48 | $18.01 | |
Horizon BCBS
| Professional | $6.68 | $6.68 | $6.68 | |
United
| Professional | $4.46 | $5.14 | $6.37 |