| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $173.78 | $245.47 | $1,096.48 | |
Cigna
| Professional | $173.78 | $288.40 | $588.84 | |
Emblem Health
| Professional | $295.12 | $398.11 | $457.09 | |
Horizon BCBS
| Professional | $165.96 | $302.00 | $512.86 | |
United
| Professional | $114.82 | $204.17 | $478.63 |