| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $75.00 | $75.00 | $75.00 | |
Aetna
| Professional | $51.52 | $75.00 | $77.97 | |
Cigna
| Professional | $47.79 | $47.79 | $47.79 | |
Emblem Health
| Professional | $124.98 | $155.93 | $208.30 | |
Horizon BCBS
| Professional | $64.73 | $76.15 | $80.06 | |
United
| Professional | $53.44 | $59.38 | $91.69 |