| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $107.15 | $128.82 | $257.04 | |
Cigna
| Professional | $117.49 | $173.78 | $295.12 | |
Emblem Health
| Professional | $144.54 | $199.53 | $239.88 | |
Horizon BCBS
| Professional | $123.03 | $147.91 | $316.23 | |
United
| Professional | $87.10 | $128.82 | $234.42 |