| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $33.81 | $33.81 | $288.39 | |
Aetna
| Professional | $30.00 | $40.00 | $240.00 | |
Cigna
| Professional | $183.00 | $288.00 | $411.00 | |
Emblem Health
| Facility | $300.00 | $300.00 | $300.00 | |
Emblem Health
| Professional | $88.20 | $328.00 | $520.00 | |
Horizon BCBS
| Professional | $188.00 | $212.00 | $302.60 | |
United
| Professional | $51.96 | $74.20 | $110.00 |