| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $176.81 | $245.75 | $396.08 | |
AmeriHealth
| Professional | $355.65 | $355.65 | $355.65 | |
Cigna
| Professional | $193.51 | $308.13 | $657.75 | |
Emblem Health
| Professional | $194.67 | $259.55 | $533.40 | |
Horizon BCBS
| Professional | $170.76 | $239.64 | $439.68 | |
United
| Professional | $172.19 | $276.30 | $491.21 |