| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $116.05 | $156.09 | $238.60 | |
Cigna
| Professional | $124.84 | $241.98 | $491.14 | |
Emblem Health
| Professional | $146.31 | $195.07 | $400.89 | |
Horizon BCBS
| Professional | $113.59 | $139.99 | $317.19 | |
United
| Professional | $119.74 | $201.53 | $472.40 |