| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $151.68 | $177.93 | $260.17 | |
Cigna
| Professional | $150.88 | $150.88 | $150.88 | |
Emblem Health
| Professional | $199.64 | $251.66 | $251.66 | |
Horizon BCBS
| Professional | $163.91 | $192.83 | $202.69 | |
United
| Professional | $120.93 | $200.34 | $399.00 |