| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $115.40 | $220.72 | $303.76 | |
Cigna
| Professional | $140.38 | $320.49 | $751.95 | |
Emblem Health
| Professional | $249.55 | $409.23 | $502.48 | |
Horizon BCBS
| Professional | $106.46 | $254.32 | $430.53 | |
United
| Professional | $203.12 | $268.87 | $580.98 |