| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $40.00 | $56.75 | $594.66 | |
Cigna
| Professional | $102.26 | $102.26 | $128.59 | |
Emblem Health
| Professional | $102.91 | $123.23 | $136.63 | |
Horizon BCBS
| Facility | $283.58 | $283.58 | $283.58 | |
Horizon BCBS
| Professional | $41.90 | $49.29 | $59.45 | |
United
| Professional | $29.56 | $47.53 | $70.81 |