| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $128.88 | $209.22 | $343.55 | |
Cigna
| Professional | $144.91 | $269.94 | $601.53 | |
Emblem Health
| Professional | $267.58 | $362.72 | $480.66 | |
Horizon BCBS
| Professional | $134.00 | $245.71 | $419.12 | |
United
| Professional | $159.82 | $252.63 | $549.14 |