| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | 26 | $26.50 | $26.50 | $134.72 |
Aetna
| Professional | $155.54 | $197.26 | $244.32 | |
Cigna
| Professional | $159.08 | $229.18 | $376.51 | |
Emblem Health
| Professional | $320.83 | $320.83 | $320.83 | |
Horizon BCBS
| Professional | $221.43 | $245.56 | $327.74 | |
United
| Professional | $163.98 | $267.06 | $477.28 |