| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $123.07 | $123.07 | $123.07 | |
Aetna
| Professional | $86.76 | $121.78 | $137.29 | |
Cigna
| Professional | $107.43 | $107.43 | $107.43 | |
Emblem Health
| Professional | $166.99 | $166.99 | $166.99 | |
Horizon BCBS
| Professional | $119.74 | $140.87 | $144.27 | |
United
| Professional | $94.74 | $133.99 | $245.07 |