| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $12.49 | $12.49 | $12.49 | |
Aetna
| Professional | $4.75 | $8.69 | $12.49 | |
Cigna
| Professional | $5.09 | $5.09 | $5.09 | |
Emblem Health
| Professional | $13.11 | $16.36 | $21.86 | |
Horizon BCBS
| Professional | $8.10 | $8.10 | $8.10 | |
United
| Professional | $5.41 | $6.23 | $9.25 |