| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $220.89 | $552.23 | $2,383.98 | |
Aetna
| Professional | $220.89 | $325.08 | $354.26 | |
Cigna
| Facility | $407.41 | $615.77 | $1,312.47 | |
Emblem Health
| Professional | $291.75 | $545.98 | $759.37 | |
Horizon BCBS
| Facility | $291.75 | $291.75 | $8,702.00 | |
Horizon BCBS
| Professional | $291.75 | $291.75 | $291.75 | |
United
| Professional | $175.05 | $250.07 | $425.12 |