| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $87.88 | $116.42 | $180.67 | |
Cigna
| Professional | $95.95 | $176.33 | $387.62 | |
Emblem Health
| Professional | $161.41 | $212.06 | $260.72 | |
Horizon BCBS
| Professional | $77.31 | $132.91 | $212.10 | |
United
| Professional | $88.43 | $128.56 | $294.25 |