| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $41.69 | $389.05 | $602.56 | |
Cigna
| Professional | $102.33 | $102.33 | $128.82 | |
Emblem Health
| Professional | $102.33 | $107.15 | $138.04 | |
Horizon BCBS
| Facility | $251.19 | $263.03 | $295.12 | |
Horizon BCBS
| Professional | $43.65 | $56.23 | $107.15 | |
United
| Professional | $30.20 | $46.77 | $79.43 |