| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $113.95 | $150.30 | $308.12 | |
Cigna
| Professional | $107.26 | $186.03 | $425.90 | |
Emblem Health
| Professional | $105.21 | $150.30 | $202.91 | |
Horizon BCBS
| Professional | $105.21 | $105.21 | $105.21 | |
United
| Professional | $66.73 | $107.19 | $214.63 |