| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $30.89 | $87.77 | $106.90 | |
Cigna
| Professional | $51.33 | $51.33 | $51.33 | |
Emblem Health
| Professional | $112.71 | $118.07 | $144.91 | |
Horizon BCBS
| Professional | $87.46 | $87.46 | $87.46 | |
United
| Professional | $53.35 | $57.38 | $66.40 |