| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $46.21 | $46.21 | $362.00 | |
Aetna
| Professional | $15.76 | $17.91 | $46.21 | |
Cigna
| Professional | $10.49 | $10.49 | $10.49 | |
Emblem Health
| Professional | $27.01 | $33.69 | $45.01 | |
Horizon BCBS
| Professional | $16.68 | $16.68 | $16.68 | |
United
| Professional | $11.14 | $12.83 | $16.91 |