| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $21.88 | $46.77 | $53.70 | |
AmeriHealth
| Professional | $19.95 | $19.95 | $25.12 | |
Cigna
| Professional | $25.12 | $25.12 | $25.12 | |
Emblem Health
| Professional | $74.13 | $77.62 | $95.50 | |
Horizon BCBS
| Professional | $56.23 | $56.23 | $57.54 | |
United
| Professional | $25.12 | $34.67 | $42.66 |