| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $77.56 | $77.56 | $295.95 | |
Aetna
| Professional | $48.00 | $65.84 | $77.56 | |
Emblem Health
| Professional | $121.31 | $130.90 | $299.64 | |
Horizon BCBS
| Professional | $51.96 | $61.13 | $93.84 | |
United
| Professional | $48.72 | $72.77 | $128.38 |