| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $112.20 | $234.42 | $602.56 | |
Cigna
| Professional | $102.33 | $223.87 | $478.63 | |
Emblem Health
| Professional | $186.21 | $251.19 | $275.42 | |
Horizon BCBS
| Professional | $204.17 | $281.84 | $489.78 | |
United
| Professional | $64.57 | $151.36 | $354.81 |