| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $149.93 | $374.83 | $1,618.07 | |
Aetna
| Professional | $149.93 | $220.65 | $240.45 | |
Cigna
| Facility | $276.51 | $417.93 | $890.99 | |
Emblem Health
| Professional | $297.02 | $370.57 | $515.41 | |
Horizon BCBS
| Facility | $473.55 | $4,207.00 | $8,702.00 | |
United
| Professional | $118.81 | $169.73 | $288.54 |