| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | 26 | $34.82 | $34.82 | $168.80 |
Aetna
| Professional | $220.73 | $288.44 | $379.74 | |
Cigna
| Professional | $233.94 | $375.61 | $628.22 | |
Emblem Health
| Professional | $387.00 | $387.00 | $387.00 | |
Horizon BCBS
| Professional | $267.20 | $314.37 | $471.47 | |
United
| Professional | $247.40 | $361.35 | $639.96 |