| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $128.00 | $283.20 | $1,144.00 | |
Aetna
| Professional | $128.00 | $128.00 | $170.00 | |
Cigna
| Facility | $195.50 | $440.98 | $916.47 | |
Emblem Health
| Professional | $210.00 | $262.00 | $364.40 | |
Horizon BCBS
| Facility | $140.00 | $140.00 | $8,702.00 | |
United
| Facility | $110.00 | $110.00 | $110.00 | |
United
| Professional | $80.00 | $120.00 | $204.00 |