| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $55.77 | $75.50 | $110.98 | |
Cigna
| Professional | $51.68 | $95.24 | $176.92 | |
Emblem Health
| Professional | $73.53 | $73.53 | $131.56 | |
Horizon BCBS
| Facility | $116.54 | $116.54 | $116.54 | |
Horizon BCBS
| Professional | $47.35 | $71.12 | $83.67 | |
United
| Professional | $47.56 | $64.31 | $138.65 |