| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $147.61 | $208.92 | $237.75 | |
Cigna
| Professional | $184.50 | $184.50 | $184.50 | |
Emblem Health
| Professional | $287.70 | $287.70 | $287.70 | |
Horizon BCBS
| Professional | $204.53 | $240.62 | $246.81 | |
United
| Professional | $163.22 | $240.62 | $419.25 |