| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $15.79 | $21.82 | $31.49 | |
Cigna
| Professional | $21.93 | $70.00 | $113.94 | |
Emblem Health
| Professional | $45.00 | $55.00 | $94.00 | |
Horizon BCBS
| Professional | $12.00 | $27.44 | $33.25 | |
United
| Professional | $25.72 | $35.49 | $43.13 |