| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $22.07 | $50.97 | $64.19 | |
Cigna
| Professional | $28.56 | $28.56 | $28.56 | |
Emblem Health
| Professional | $80.50 | $84.34 | $103.50 | |
Horizon BCBS
| Professional | $62.47 | $62.47 | $62.47 | |
United
| Professional | $29.69 | $39.58 | $46.00 |