| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $165.96 | $181.97 | $223.87 | |
Cigna
| Professional | $186.21 | $186.21 | $186.21 | |
Emblem Health
| Professional | $309.03 | $309.03 | $309.03 | |
Horizon BCBS
| Professional | $177.83 | $208.93 | $288.40 | |
United
| Professional | $162.18 | $223.87 | $389.05 |