| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $184.46 | $246.46 | $420.13 | |
Cigna
| Professional | $95.90 | $95.90 | $190.24 | |
Emblem Health
| Professional | $159.37 | $212.88 | $436.67 | |
Horizon BCBS
| Professional | $136.16 | $236.20 | $363.22 | |
United
| Professional | $146.38 | $226.02 | $406.93 |