| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $152.04 | $189.05 | $257.39 | |
Cigna
| Professional | $152.07 | $152.07 | $152.07 | |
Emblem Health
| Professional | $201.21 | $253.66 | $253.66 | |
Horizon BCBS
| Professional | $164.60 | $193.65 | $203.55 | |
United
| Professional | $121.89 | $198.87 | $396.09 |