| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $30.90 | $67.61 | $75.86 | |
AmeriHealth
| Professional | $50.12 | $50.12 | $50.12 | |
Cigna
| Professional | $37.15 | $37.15 | $37.15 | |
Emblem Health
| Professional | $102.33 | $109.65 | $131.83 | |
Horizon BCBS
| Professional | $79.43 | $79.43 | $79.43 | |
United
| Professional | $36.31 | $47.86 | $58.88 |