| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $48.07 | $92.48 | $152.13 | |
Aetna
| Professional | $74.52 | $87.98 | $115.35 | |
Cigna
| Professional | $80.53 | $117.60 | $198.42 | |
Emblem Health
| Professional | $103.99 | $132.15 | $174.21 | |
Horizon BCBS
| Professional | $88.03 | $106.77 | $162.82 | |
United
| Professional | $63.48 | $92.60 | $175.93 |