| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $62.73 | $68.18 | $84.69 | |
Cigna
| Professional | $69.93 | $69.93 | $69.93 | |
Emblem Health
| Professional | $109.10 | $109.10 | $109.10 | |
Horizon BCBS
| Professional | $65.38 | $76.92 | $78.91 | |
United
| Professional | $56.20 | $78.91 | $157.69 |