| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $45.50 | $67.59 | $110.88 | |
Cigna
| Professional | $53.43 | $89.78 | $192.20 | |
Emblem Health
| Professional | $69.17 | $122.32 | $130.57 | |
Horizon BCBS
| Professional | $45.76 | $81.66 | $155.59 | |
United
| Professional | $65.61 | $105.46 | $230.73 |