| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $90.15 | $120.30 | $136.07 | |
Cigna
| Professional | $84.96 | $147.15 | $337.07 | |
Emblem Health
| Professional | $81.54 | $116.49 | $157.26 | |
Horizon BCBS
| Professional | $81.54 | $81.54 | $81.54 | |
United
| Professional | $50.73 | $81.54 | $162.77 |