| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $25.73 | $54.60 | $92.62 | |
AmeriHealth
| Professional | $315.00 | $315.00 | $315.00 | |
Cigna
| Professional | $23.40 | $61.93 | $163.30 | |
Emblem Health
| Professional | $99.89 | $102.54 | $129.93 | |
Horizon BCBS
| Professional | $72.42 | $85.20 | $124.83 | |
United
| Professional | $39.25 | $64.98 | $144.21 |