| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $72.84 | $151.24 | $204.77 | |
Cigna
| Professional | $91.11 | $91.11 | $91.11 | |
Emblem Health
| Professional | $265.74 | $278.39 | $341.67 | |
Horizon BCBS
| Professional | $206.23 | $206.23 | $206.23 | |
United
| Professional | $94.70 | $126.26 | $151.91 |