| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $134.54 | $159.41 | $243.08 | |
Cigna
| Professional | $135.10 | $135.10 | $135.10 | |
Emblem Health
| Professional | $178.72 | $225.41 | $225.41 | |
Horizon BCBS
| Professional | $138.77 | $163.26 | $171.62 | |
United
| Professional | $62.19 | $188.51 | $382.27 |