| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $66.61 | $89.70 | $145.62 | |
Aetna
| Professional | 52 | $33.31 | $41.34 | $54.84 |
Ambetter
| Professional | $80.22 | $80.22 | $128.35 | |
AmeriHealth
| Professional | $78.56 | $124.04 | $215.93 | |
Cigna
| Professional | $71.70 | $112.17 | $247.16 | |
Emblem Health
| Professional | $82.65 | $109.90 | $540.04 | |
Horizon BCBS
| Professional | $58.28 | $84.19 | $153.11 | |
United
| Professional | $69.38 | $102.75 | $168.60 |