| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $95.78 | $95.78 | $95.78 | |
Aetna
| Professional | $80.94 | $89.50 | $108.98 | |
Cigna
| Professional | $92.55 | $92.55 | $92.55 | |
Emblem Health
| Professional | $145.38 | $145.38 | $145.38 | |
Horizon BCBS
| Professional | $84.62 | $99.55 | $102.37 | |
United
| Professional | $74.89 | $102.37 | $204.59 |