| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $19.42 | $37.46 | $47.99 | |
AmeriHealth
| Professional | $50.14 | $50.14 | $50.14 | |
Cigna
| Professional | $22.57 | $22.57 | $22.57 | |
Emblem Health
| Professional | $65.81 | $68.95 | $84.63 | |
Horizon BCBS
| Professional | $51.09 | $51.09 | $51.09 | |
United
| Professional | $23.46 | $31.28 | $37.61 |