| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $83.18 | $158.49 | $199.53 | |
Cigna
| Professional | $91.20 | $91.20 | $91.20 | |
Emblem Health
| Professional | $275.42 | $288.40 | $354.81 | |
Horizon BCBS
| Professional | $208.93 | $208.93 | $213.80 | |
United
| Professional | $95.50 | $125.89 | $154.88 |