| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $48.40 | $75.66 | $126.84 | |
AmeriHealth
| Professional | $59.50 | $113.27 | $133.56 | |
Cigna
| Professional | $39.11 | $82.61 | $194.29 | |
Emblem Health
| Professional | $114.33 | $119.53 | $151.50 | |
Horizon BCBS
| Professional | $83.75 | $98.53 | $148.38 | |
United
| Professional | $37.64 | $66.04 | $171.68 |