| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $48.98 | $102.33 | $128.82 | |
AmeriHealth
| Professional | $50.12 | $50.12 | $50.12 | |
Cigna
| Professional | $57.54 | $57.54 | $57.54 | |
Emblem Health
| Professional | $128.82 | $138.04 | $165.96 | |
Horizon BCBS
| Professional | $100.00 | $100.00 | $100.00 | |
United
| Professional | $50.12 | $60.26 | $75.86 |