| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $123.03 | $173.78 | $575.44 | |
Ambetter
| Professional | $138.04 | $138.04 | $138.04 | |
Cigna
| Professional | $93.33 | $162.18 | $354.81 | |
Emblem Health
| Professional | $138.04 | $186.21 | $204.17 | |
Horizon BCBS
| Professional | $117.49 | $162.18 | $275.42 | |
United
| Professional | $64.57 | $131.83 | $251.19 |