| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $86.77 | $180.84 | $245.67 | |
Cigna
| Professional | $108.53 | $108.53 | $108.53 | |
Emblem Health
| Professional | $316.52 | $331.61 | $406.97 | |
Horizon BCBS
| Professional | $245.65 | $245.65 | $245.65 | |
United
| Professional | $113.28 | $150.40 | $180.88 |