| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $30.20 | $58.88 | $64.57 | |
AmeriHealth
| Professional | $34.67 | $34.67 | $39.81 | |
Cigna
| Professional | $33.11 | $33.11 | $33.11 | |
Emblem Health
| Professional | $93.33 | $97.72 | $117.49 | |
Horizon BCBS
| Professional | $70.79 | $70.79 | $72.44 | |
United
| Professional | $33.11 | $42.66 | $52.48 |