| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $112.80 | $204.85 | $295.06 | |
Cigna
| Professional | $118.23 | $241.38 | $566.88 | |
Emblem Health
| Professional | $236.21 | $320.19 | $423.92 | |
Horizon BCBS
| Professional | $107.29 | $219.69 | $379.56 | |
United
| Professional | $150.04 | $234.77 | $506.03 |