| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $33.81 | $33.81 | $721.00 | |
Aetna
| Professional | $30.00 | $40.00 | $600.00 | |
Cigna
| Professional | $549.00 | $864.00 | $1,233.00 | |
Emblem Health
| Facility | $750.00 | $750.00 | $750.00 | |
Emblem Health
| Professional | $220.50 | $820.00 | $1,300.00 | |
Horizon BCBS
| Professional | $470.00 | $530.00 | $756.50 | |
United
| Professional | $52.00 | $75.00 | $110.00 |