| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $130.96 | $201.96 | $268.58 | |
Cigna
| Professional | $145.44 | $302.19 | $696.93 | |
Emblem Health
| Professional | $12.00 | $148.00 | $383.55 | |
Horizon BCBS
| Professional | $114.50 | $230.67 | $394.97 | |
United
| Professional | $127.70 | $240.27 | $467.92 |