| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $65.16 | $86.88 | $133.88 | |
Aetna
| Professional | $66.65 | $88.24 | $116.45 | |
AmeriHealth
| Professional | $80.54 | $109.35 | $243.29 | |
Cigna
| Professional | $72.61 | $102.00 | $160.33 | |
Emblem Health
| Professional | $121.30 | $140.47 | $156.94 | |
Horizon BCBS
| Professional | $69.03 | $95.57 | $164.17 | |
United
| Professional | $78.52 | $108.85 | $194.86 |