| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $165.54 | $180.63 | $223.37 | |
Cigna
| Professional | $184.50 | $184.50 | $184.50 | |
Emblem Health
| Professional | $287.70 | $287.70 | $287.70 | |
Horizon BCBS
| Professional | $172.86 | $203.36 | $208.62 | |
United
| Professional | $163.22 | $273.25 | $416.92 |