| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $44.83 | $97.10 | $126.15 | |
Cigna
| Professional | $58.28 | $58.28 | $58.28 | |
Emblem Health
| Professional | $163.59 | $171.38 | $210.33 | |
Horizon BCBS
| Professional | $126.95 | $126.95 | $126.95 | |
United
| Professional | $60.57 | $80.75 | $93.48 |