| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $52.87 | $52.87 | $52.87 | |
Aetna
| Professional | $19.93 | $29.68 | $52.87 | |
Cigna
| Professional | $17.39 | $17.39 | $17.39 | |
Emblem Health
| Professional | $44.77 | $55.86 | $74.62 | |
Horizon BCBS
| Professional | $27.65 | $27.65 | $27.65 | |
United
| Professional | $18.46 | $21.27 | $29.30 |