| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $44.67 | $46.77 | $208.93 | |
Aetna
| Professional | $20.89 | $28.18 | $34.67 | |
Cigna
| Facility | $40.74 | $77.62 | $162.18 | |
Cigna
| Professional | $28.18 | $28.18 | $28.18 | |
Emblem Health
| Professional | $37.15 | $47.86 | $75.86 | |
Horizon BCBS
| Facility | $35.48 | $10,471.29 | $25,703.96 | |
Horizon BCBS
| Professional | $33.88 | $35.48 | $35.48 | |
United
| Facility | $16.60 | $35.48 | $72.44 | |
United
| Professional | $14.13 | $20.89 | $38.90 |