| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $109.65 | $177.83 | $181.97 | |
Aetna
| Professional | $89.13 | $104.71 | $204.17 | |
Ambetter
| Professional | $100.00 | $100.00 | $128.82 | |
Cigna
| Professional | $81.28 | $144.54 | $245.47 | |
Emblem Health
| Professional | $165.96 | $181.97 | $218.78 | |
Horizon BCBS
| Professional | $75.86 | $102.33 | $251.19 | |
United
| Professional | $74.13 | $107.15 | $194.98 |