| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $266.80 | $619.17 | $2,879.45 | |
Aetna
| Professional | $266.80 | $302.04 | $427.89 | |
Cigna
| Facility | $492.07 | $1,109.31 | $2,306.75 | |
Cigna
| Professional | $266.80 | $525.00 | $656.25 | |
Emblem Health
| Professional | $201.36 | $251.70 | $302.04 | |
Horizon BCBS
| Facility | $1,165.00 | $8,702.00 | $13,785.00 | |
Horizon BCBS
| Professional | $402.72 | $402.72 | $503.40 | |
United
| Professional | $194.90 | $302.04 | $515.99 |