| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $129.91 | $169.78 | $254.76 | |
Cigna
| Professional | $178.66 | $239.90 | $436.85 | |
Emblem Health
| Professional | $156.80 | $230.32 | $301.39 | |
Horizon BCBS
| Professional | $174.02 | $223.16 | $352.90 | |
United
| Professional | $124.98 | $197.30 | $305.83 |