| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $31.52 | $84.61 | $107.87 | |
Cigna
| Professional | $49.92 | $49.92 | $49.92 | |
Emblem Health
| Professional | $115.00 | $120.47 | $147.85 | |
Horizon BCBS
| Professional | $89.25 | $89.25 | $89.25 | |
United
| Professional | $50.52 | $61.93 | $65.70 |