| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $30.90 | $42.66 | $109.65 | |
Ambetter
| Professional | $67.61 | $67.61 | $67.61 | |
Cigna
| Professional | $52.48 | $67.61 | $323.59 | |
Emblem Health
| Professional | $46.77 | $61.66 | $81.28 | |
Horizon BCBS
| Professional | $29.51 | $64.57 | $117.49 | |
United
| Professional | $34.67 | $53.70 | $93.33 |