| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $32.04 | $83.18 | $113.99 | |
Cigna
| Professional | $49.33 | $49.33 | $49.33 | |
Emblem Health
| Professional | $116.96 | $122.53 | $150.38 | |
Horizon BCBS
| Professional | $90.76 | $90.76 | $90.76 | |
United
| Professional | $51.37 | $59.52 | $68.36 |