| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $103.85 | $122.42 | $189.67 | |
Cigna
| Professional | $71.06 | $120.88 | $297.77 | |
Emblem Health
| Professional | $114.31 | $163.30 | $297.00 | |
Horizon BCBS
| Professional | $117.25 | $190.77 | $372.55 | |
United
| Professional | $76.81 | $138.50 | $246.33 |