| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | 26 | $67.92 | $67.92 | $289.94 |
Aetna
| Professional | $160.35 | $202.10 | $259.75 | |
AmeriHealth
| Professional | $254.70 | $254.70 | $254.70 | |
Cigna
| Professional | $179.74 | $255.52 | $468.33 | |
Emblem Health
| Professional | $290.32 | $345.94 | $345.94 | |
Horizon BCBS
| Professional | $156.99 | $192.58 | $292.45 | |
United
| Professional | $167.30 | $247.27 | $434.70 |