| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $145.66 | $364.15 | $1,572.03 | |
Aetna
| Professional | $145.66 | $214.37 | $233.61 | |
Cigna
| Facility | $268.64 | $405.84 | $865.38 | |
Emblem Health
| Professional | $192.38 | $360.03 | $500.74 | |
Horizon BCBS
| Facility | $274.83 | $8,702.00 | $12,381.00 | |
United
| Professional | $106.41 | $164.90 | $280.33 |