| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $114.16 | $139.32 | $176.46 | |
Cigna
| Professional | $107.47 | $186.34 | $412.34 | |
Emblem Health
| Professional | $103.26 | $147.52 | $199.15 | |
Horizon BCBS
| Professional | $103.26 | $103.26 | $103.26 | |
United
| Professional | $52.11 | $97.46 | $206.53 |