| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $121.59 | $121.59 | $177.38 | |
Aetna
| Professional | $101.69 | $121.59 | $203.01 | |
Cigna
| Professional | $107.03 | $181.92 | $311.31 | |
Emblem Health
| Professional | $144.29 | $189.32 | $505.02 | |
Horizon BCBS
| Professional | $126.67 | $168.91 | $293.55 | |
United
| Professional | $112.84 | $182.52 | $287.77 |