| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $173.78 | $239.88 | $1,071.52 | |
Cigna
| Professional | $173.78 | $288.40 | $575.44 | |
Emblem Health
| Professional | $288.40 | $389.05 | $436.52 | |
Horizon BCBS
| Professional | $165.96 | $295.12 | $501.19 | |
United
| Professional | $114.82 | $199.53 | $467.74 |