| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $106.63 | $183.95 | $275.52 | |
Cigna
| Professional | $131.15 | $294.72 | $675.00 | |
Emblem Health
| Professional | $250.06 | $374.50 | $459.80 | |
Horizon BCBS
| Professional | $104.43 | $234.02 | $371.88 | |
United
| Professional | $182.68 | $244.69 | $535.55 |