| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $38.90 | $83.18 | $302.00 | |
Cigna
| Professional | $41.69 | $91.20 | $177.83 | |
Emblem Health
| Professional | $61.66 | $83.18 | $93.33 | |
Horizon BCBS
| Professional | $37.15 | $95.50 | $177.83 | |
United
| Professional | $28.18 | $61.66 | $173.78 |