| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $133.75 | $189.40 | $251.98 | |
Cigna
| Professional | $149.38 | $236.53 | $411.80 | |
Emblem Health
| Professional | $253.90 | $253.90 | $253.90 | |
Horizon BCBS
| Professional | $163.90 | $192.82 | $271.36 | |
United
| Professional | $162.77 | $227.83 | $398.35 |