| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $101.51 | $101.51 | $155.10 | |
Aetna
| Professional | $87.59 | $101.51 | $174.17 | |
Cigna
| Professional | $91.62 | $156.81 | $261.04 | |
Emblem Health
| Professional | $113.71 | $165.66 | $304.48 | |
Horizon BCBS
| Professional | $113.54 | $146.97 | $254.91 | |
United
| Professional | $85.81 | $128.26 | $231.46 |