| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $109.79 | $137.18 | $187.22 | |
Cigna
| Professional | $108.92 | $108.92 | $108.92 | |
Emblem Health
| Professional | $144.09 | $181.71 | $181.71 | |
Horizon BCBS
| Professional | $120.19 | $141.40 | $148.63 | |
United
| Professional | $87.32 | $146.75 | $289.22 |