| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $56.02 | $69.55 | $128.51 | |
Cigna
| Facility | $100.30 | $100.30 | $100.30 | |
Cigna
| Professional | $85.26 | $100.30 | $172.13 | |
Emblem Health
| Professional | $135.79 | $135.79 | $167.10 | |
Horizon BCBS
| Professional | $102.58 | $102.58 | $102.58 | |
United
| Professional | $69.88 | $95.68 | $135.61 |