| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $39.96 | $51.88 | $88.60 | |
Cigna
| Professional | $57.08 | $87.82 | $171.46 | |
Emblem Health
| Professional | $123.99 | $123.99 | $123.99 | |
Horizon BCBS
| Professional | $66.40 | $79.50 | $180.53 | |
United
| Professional | $52.07 | $66.23 | $145.04 |