| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $83.64 | $173.64 | $225.10 | |
Cigna
| Professional | $104.60 | $104.60 | $104.60 | |
Emblem Health
| Professional | $305.10 | $319.63 | $392.27 | |
Horizon BCBS
| Professional | $236.77 | $236.77 | $236.77 | |
United
| Professional | $108.72 | $144.96 | $174.34 |