| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $206.46 | $252.91 | $343.27 | |
AmeriHealth
| Professional | $305.48 | $305.48 | $393.89 | |
Cigna
| Professional | $199.98 | $199.98 | $199.98 | |
Emblem Health
| Professional | $264.56 | $333.62 | $333.62 | |
Horizon BCBS
| Professional | $217.66 | $256.07 | $269.17 | |
United
| Professional | $143.03 | $263.08 | $511.99 |