| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $37.09 | $82.49 | $104.43 | |
Cigna
| Professional | $48.24 | $48.24 | $48.24 | |
Emblem Health
| Professional | $135.27 | $141.71 | $173.92 | |
Horizon BCBS
| Professional | $104.99 | $104.99 | $104.99 | |
United
| Professional | $50.14 | $66.84 | $77.30 |