| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $119.67 | $141.33 | $224.22 | |
Cigna
| Professional | $130.53 | $202.64 | $460.06 | |
Emblem Health
| Professional | $134.87 | $210.20 | $242.31 | |
Horizon BCBS
| Professional | $121.84 | $177.26 | $325.02 | |
United
| Professional | $126.45 | $198.42 | $460.39 |