| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $64.70 | $139.56 | $174.83 | |
Cigna
| Professional | $80.93 | $80.93 | $80.93 | |
Emblem Health
| Professional | $236.04 | $247.28 | $303.48 | |
Horizon BCBS
| Professional | $183.18 | $183.18 | $183.18 | |
United
| Professional | $84.11 | $120.16 | $134.88 |