| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $109.65 | $128.66 | $188.14 | |
Cigna
| Professional | $109.51 | $109.51 | $109.51 | |
Emblem Health
| Professional | $144.88 | $182.69 | $182.69 | |
Horizon BCBS
| Professional | $120.19 | $141.40 | $148.63 | |
United
| Professional | $92.10 | $145.21 | $289.22 |