| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $194.84 | $194.84 | $194.84 | |
Aetna
| Professional | $113.28 | $169.59 | $203.51 | |
Cigna
| Professional | $94.26 | $94.26 | $94.26 | |
Emblem Health
| Professional | $242.57 | $302.64 | $404.29 | |
Horizon BCBS
| Professional | $149.83 | $149.83 | $149.83 | |
United
| Professional | $97.97 | $115.25 | $151.94 |