| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $116.19 | $184.84 | $324.44 | |
Cigna
| Professional | $106.30 | $204.60 | $431.56 | |
Emblem Health
| Professional | $234.77 | $318.25 | $363.53 | |
Horizon BCBS
| Professional | $126.00 | $239.98 | $361.38 | |
United
| Professional | $128.58 | $228.10 | $460.67 |