| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $25.70 | $61.54 | $108.16 | |
Cigna
| Professional | $20.97 | $67.63 | $189.93 | |
Emblem Health
| Professional | $116.63 | $119.40 | $152.49 | |
Horizon BCBS
| Facility | $252.90 | $252.90 | $252.90 | |
Horizon BCBS
| Professional | $80.89 | $97.66 | $146.13 | |
United
| Professional | $21.63 | $59.46 | $151.51 |