| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $56.01 | $63.10 | $141.78 | |
Aetna
| Professional | $52.49 | $119.78 | $159.27 | |
Cigna
| Professional | $128.26 | $128.26 | $128.26 | |
Emblem Health
| Professional | $183.68 | $204.20 | $237.62 | |
Horizon BCBS
| Professional | $111.21 | $130.84 | $135.52 | |
United
| Professional | $101.77 | $162.01 | $329.14 |