| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $131.83 | $151.36 | $181.97 | |
Cigna
| Professional | $154.88 | $154.88 | $154.88 | |
Emblem Health
| Professional | $263.03 | $263.03 | $263.03 | |
Horizon BCBS
| Professional | $144.54 | $169.82 | $234.42 | |
United
| Professional | $138.04 | $186.21 | $316.23 |