| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $80.62 | $106.38 | $170.41 | |
AmeriHealth
| Professional | $134.76 | $134.76 | $134.76 | |
Cigna
| Professional | $62.00 | $129.68 | $255.29 | |
Emblem Health
| Professional | $127.18 | $172.40 | $195.49 | |
Horizon BCBS
| Professional | $87.42 | $133.47 | $198.90 | |
United
| Professional | $72.23 | $127.04 | $236.00 |