| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $72.44 | $109.65 | $263.03 | |
Cigna
| Professional | $72.44 | $125.89 | $263.03 | |
Emblem Health
| Professional | $120.23 | $165.96 | $181.97 | |
Horizon BCBS
| Professional | $89.13 | $123.03 | $199.53 | |
United
| Professional | $54.95 | $102.33 | $190.55 |