| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $67.56 | $140.28 | $174.61 | |
Cigna
| Professional | $84.51 | $84.51 | $84.51 | |
Emblem Health
| Professional | $246.49 | $258.23 | $316.91 | |
Horizon BCBS
| Professional | $191.29 | $191.29 | $191.29 | |
United
| Professional | $88.21 | $125.48 | $140.85 |