| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $86.73 | $86.73 | $86.73 | |
Aetna
| Professional | $35.29 | $76.06 | $87.55 | |
Emblem Health
| Professional | $19.66 | $26.64 | $148.79 | |
Horizon BCBS
| Professional | $62.26 | $85.68 | $125.46 | |
United
| Professional | $57.89 | $75.31 | $131.69 |