| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $13.68 | $61.33 | $86.92 | |
Cigna
| Professional | $16.84 | $82.83 | $198.50 | |
Emblem Health
| Professional | $74.65 | $99.71 | $126.79 | |
Horizon BCBS
| Professional | $15.45 | $77.09 | $144.06 | |
United
| Professional | $65.23 | $98.32 | $238.59 |