| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $61.32 | $113.41 | $171.58 | |
Cigna
| Professional | $66.87 | $139.93 | $263.74 | |
Emblem Health
| Professional | $175.12 | $227.79 | $295.64 | |
Horizon BCBS
| Professional | $122.62 | $153.65 | $259.64 | |
United
| Professional | $113.91 | $152.30 | $289.37 |