| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $200.66 | $234.18 | $342.81 | |
AmeriHealth
| Professional | $349.93 | $349.93 | $421.96 | |
Cigna
| Professional | $199.09 | $199.09 | $199.09 | |
Emblem Health
| Professional | $263.38 | $332.12 | $332.12 | |
Horizon BCBS
| Professional | $217.36 | $255.72 | $268.80 | |
United
| Professional | $159.59 | $277.83 | $529.13 |