| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $97.10 | $127.47 | $204.92 | |
Cigna
| Professional | $125.75 | $183.40 | $395.99 | |
Emblem Health
| Professional | $138.26 | $184.25 | $378.83 | |
Horizon BCBS
| Professional | $132.27 | $172.09 | $245.72 | |
United
| Professional | $86.88 | $137.99 | $274.88 |