| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $33.81 | $33.81 | $504.70 | |
Aetna
| Professional | $30.00 | $40.00 | $420.00 | |
Cigna
| Professional | $366.00 | $576.00 | $822.00 | |
Emblem Health
| Facility | $525.00 | $525.00 | $525.00 | |
Emblem Health
| Professional | $154.35 | $574.00 | $910.00 | |
Horizon BCBS
| Professional | $329.00 | $371.00 | $529.54 | |
United
| Professional | $52.00 | $78.00 | $113.00 |