| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $204.40 | $292.10 | $409.21 | |
Cigna
| Professional | $210.35 | $413.37 | $863.30 | |
Emblem Health
| Professional | $342.85 | $450.58 | $554.28 | |
Horizon BCBS
| Professional | $189.06 | $357.01 | $579.74 | |
United
| Professional | $202.71 | $399.21 | $870.66 |