| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $71.09 | $80.58 | $105.02 | |
Aetna
| Professional | $71.09 | $123.60 | $155.00 | |
AmeriHealth
| Professional | $118.94 | $148.08 | $575.10 | |
Cigna
| Professional | $88.90 | $151.68 | $249.18 | |
Emblem Health
| Professional | $30.00 | $115.02 | $148.32 | |
Horizon BCBS
| Professional | $96.18 | $127.26 | $189.06 | |
United
| Professional | $74.77 | $112.37 | $217.17 |