| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $56.42 | $90.23 | $159.44 | |
Cigna
| Professional | $88.98 | $88.98 | $88.98 | |
Emblem Health
| Professional | $117.90 | $148.25 | $202.38 | |
Horizon BCBS
| Professional | $48.31 | $56.84 | $59.72 | |
United
| Professional | $57.61 | $99.59 | $220.94 |