| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $104.64 | $104.64 | $104.64 | |
Aetna
| Professional | $72.18 | $103.20 | $117.85 | |
Cigna
| Professional | $92.55 | $92.55 | $92.55 | |
Emblem Health
| Professional | $145.38 | $145.38 | $145.38 | |
Horizon BCBS
| Professional | $99.55 | $117.12 | $120.44 | |
United
| Professional | $82.49 | $113.90 | $199.11 |