| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $75.54 | $75.54 | $75.54 | |
Aetna
| Professional | $53.10 | $74.28 | $84.23 | |
Cigna
| Professional | $65.77 | $65.77 | $65.77 | |
Emblem Health
| Professional | $102.38 | $102.38 | $102.38 | |
Horizon BCBS
| Professional | $72.70 | $85.53 | $87.63 | |
United
| Professional | $58.09 | $82.24 | $148.85 |