| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $28.18 | $54.95 | $95.50 | |
AmeriHealth
| Professional | $316.23 | $316.23 | $316.23 | |
Cigna
| Professional | $25.12 | $63.10 | $162.18 | |
Emblem Health
| Professional | $104.71 | $107.15 | $138.04 | |
Horizon BCBS
| Professional | $72.44 | $109.65 | $218.78 | |
United
| Professional | $19.05 | $43.65 | $95.50 |