| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $49.77 | $99.47 | $122.25 | |
Cigna
| Professional | $62.26 | $62.26 | $62.26 | |
Emblem Health
| Professional | $181.58 | $190.22 | $233.46 | |
Horizon BCBS
| Professional | $140.91 | $140.91 | $140.91 | |
United
| Professional | $64.70 | $86.27 | $103.76 |