| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $25.70 | $53.70 | $61.66 | |
AmeriHealth
| Professional | $19.95 | $19.95 | $25.12 | |
Cigna
| Professional | $29.51 | $29.51 | $29.51 | |
Emblem Health
| Professional | $87.10 | $91.20 | $112.20 | |
Horizon BCBS
| Professional | $66.07 | $66.07 | $67.61 | |
United
| Professional | $26.92 | $40.74 | $50.12 |