| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $245.44 | $478.61 | $1,575.00 | |
Aetna
| Professional | $245.44 | $245.44 | $245.44 | |
Cigna
| Facility | $269.14 | $606.98 | $1,261.75 | |
Emblem Health
| Professional | $289.12 | $360.71 | $501.69 | |
Horizon BCBS
| Facility | $192.75 | $192.75 | $8,702.00 | |
United
| Professional | $115.65 | $165.21 | $280.86 |