| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $23.82 | $23.82 | $23.82 | |
Aetna
| Professional | $20.10 | $113.09 | $201.05 | |
Cigna
| Professional | $182.29 | $182.29 | $182.29 | |
Emblem Health
| Professional | $325.69 | $399.71 | $512.22 | |
Horizon BCBS
| Professional | $140.01 | $265.50 | $316.06 | |
United
| Professional | $110.27 | $188.20 | $271.01 |