| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $108.90 | $133.69 | $168.33 | |
Cigna
| Professional | $102.59 | $177.81 | $393.33 | |
Emblem Health
| Professional | $98.51 | $140.72 | $189.99 | |
Horizon BCBS
| Professional | $98.51 | $98.51 | $98.51 | |
United
| Professional | $62.49 | $119.62 | $200.96 |