| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $39.92 | $100.53 | $141.16 | |
Cigna
| Professional | $61.92 | $61.92 | $61.92 | |
Emblem Health
| Professional | $145.65 | $152.58 | $187.26 | |
Horizon BCBS
| Professional | $113.03 | $113.03 | $113.03 | |
United
| Professional | $64.36 | $80.43 | $85.81 |