| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $234.95 | $587.38 | $2,535.73 | |
Aetna
| Professional | $234.95 | $345.78 | $376.81 | |
Cigna
| Facility | $433.34 | $560.79 | $1,495.46 | |
Emblem Health
| Professional | $465.48 | $580.74 | $807.71 | |
Horizon BCBS
| Facility | $310.32 | $310.32 | $8,702.00 | |
Horizon BCBS
| Professional | $310.32 | $310.32 | $310.32 | |
United
| Professional | $186.19 | $265.99 | $452.18 |