| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $124.66 | $182.11 | $216.75 | |
Cigna
| Professional | $124.05 | $259.32 | $452.64 | |
Emblem Health
| Professional | $196.31 | $231.45 | $231.45 | |
Horizon BCBS
| Professional | $103.59 | $161.76 | $291.89 | |
United
| Professional | $161.96 | $229.69 | $385.33 |