| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $117.49 | $144.54 | $426.58 | |
Cigna
| Professional | $100.00 | $208.93 | $616.60 | |
Emblem Health
| Professional | $120.23 | $162.18 | $213.80 | |
Horizon BCBS
| Professional | $102.33 | $158.49 | $331.13 | |
United
| Professional | $87.10 | $125.89 | $263.03 |