| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $80.75 | $337.57 | $337.57 | |
Emblem Health
| Professional | $59.67 | $68.62 | $103.23 | |
Horizon BCBS
| Professional | $99.46 | $132.22 | $205.77 | |
United
| Professional | $46.24 | $117.46 | $200.38 |