| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $19.05 | $37.15 | $44.67 | |
AmeriHealth
| Professional | $19.95 | $19.95 | $25.12 | |
Cigna
| Professional | $21.88 | $21.88 | $21.88 | |
Emblem Health
| Professional | $64.57 | $67.61 | $83.18 | |
Horizon BCBS
| Professional | $48.98 | $48.98 | $50.12 | |
United
| Professional | $21.38 | $30.20 | $37.15 |