| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $159.72 | $159.72 | $159.72 | |
Aetna
| Professional | $135.78 | $147.47 | $183.71 | |
Cigna
| Professional | $141.06 | $141.06 | $141.06 | |
Emblem Health
| Professional | $218.98 | $218.98 | $218.98 | |
Horizon BCBS
| Professional | $141.97 | $167.03 | $171.33 | |
United
| Professional | $117.67 | $199.50 | $342.40 |