| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $89.99 | $120.16 | $190.12 | |
Cigna
| Professional | $116.67 | $163.61 | $310.07 | |
Emblem Health
| Professional | $117.45 | $172.61 | $225.77 | |
Horizon BCBS
| Professional | $124.34 | $157.41 | $238.15 | |
United
| Professional | $91.47 | $130.35 | $213.76 |