| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $200.91 | $253.62 | $390.82 | |
Cigna
| Professional | $194.32 | $194.32 | $194.32 | |
Emblem Health
| Professional | $257.02 | $324.24 | $324.24 | |
Horizon BCBS
| Professional | $225.63 | $265.45 | $279.02 | |
United
| Professional | $148.15 | $269.58 | $542.95 |