| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $69.56 | $86.41 | $281.93 | |
AmeriHealth
| Professional | $104.00 | $104.00 | $104.00 | |
Cigna
| Professional | $112.48 | $208.98 | $549.66 | |
Emblem Health
| Professional | $310.43 | $414.41 | $850.58 | |
Horizon BCBS
| Professional | $118.33 | $170.14 | $298.22 | |
United
| Professional | $76.81 | $117.82 | $299.95 |