| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $53.21 | $75.02 | $109.69 | |
Cigna
| Professional | $89.28 | $89.28 | $89.28 | |
Emblem Health
| Professional | $102.82 | $139.37 | $142.76 | |
Horizon BCBS
| Professional | $77.78 | $91.50 | $94.65 | |
United
| Professional | $55.41 | $99.61 | $186.99 |