| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $77.05 | $213.29 | $280.86 | |
Cigna
| Professional | $128.49 | $128.49 | $128.49 | |
Emblem Health
| Professional | $281.07 | $294.45 | $361.38 | |
Horizon BCBS
| Professional | $218.13 | $218.13 | $218.13 | |
United
| Professional | $129.68 | $143.09 | $170.23 |