| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $28.13 | $74.12 | $97.60 | |
Cigna
| Professional | $44.32 | $44.32 | $44.32 | |
Emblem Health
| Professional | $102.63 | $107.51 | $131.94 | |
Horizon BCBS
| Professional | $79.64 | $79.64 | $79.64 | |
United
| Professional | $45.08 | $52.24 | $58.88 |