| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $47.86 | $61.66 | $77.62 | |
Cigna
| Professional | $53.70 | $83.18 | $162.18 | |
Emblem Health
| Professional | $114.82 | $114.82 | $114.82 | |
Horizon BCBS
| Professional | $63.10 | $77.62 | $134.90 | |
United
| Professional | $50.12 | $67.61 | $131.83 |