| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $119.35 | $170.70 | $193.71 | |
Cigna
| Professional | $154.15 | $154.15 | $154.15 | |
Emblem Health
| Professional | $240.87 | $240.87 | $240.87 | |
Horizon BCBS
| Professional | $165.67 | $194.90 | $199.94 | |
United
| Professional | $136.13 | $205.80 | $339.63 |