| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $48.66 | $54.62 | $89.26 | |
AmeriHealth
| Professional | $160.22 | $160.22 | $160.22 | |
Cigna
| Professional | $40.50 | $65.48 | $145.02 | |
Emblem Health
| Professional | $58.71 | $83.87 | $119.79 | |
Horizon BCBS
| Professional | $51.57 | $93.53 | $253.68 | |
United
| Professional | $33.13 | $51.27 | $101.25 |