| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $159.72 | $399.30 | $1,723.72 | |
Aetna
| Professional | $159.72 | $235.05 | $256.14 | |
Cigna
| Facility | $294.57 | $445.02 | $948.61 | |
Emblem Health
| Professional | $210.95 | $394.77 | $549.05 | |
Horizon BCBS
| Facility | $192.38 | $192.38 | $8,702.00 | |
United
| Professional | $126.57 | $180.81 | $307.38 |