| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $105.44 | $202.21 | $294.33 | |
Cigna
| Professional | $84.39 | $197.61 | $432.74 | |
Emblem Health
| Professional | $193.69 | $262.56 | $287.69 | |
Horizon BCBS
| Professional | $205.28 | $274.05 | $426.20 | |
United
| Professional | $135.13 | $231.45 | $473.04 |