| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $138.07 | $345.18 | $1,490.06 | |
Aetna
| Professional | $138.07 | $203.19 | $221.43 | |
Cigna
| Facility | $254.64 | $385.04 | $820.56 | |
Emblem Health
| Professional | $182.35 | $341.26 | $474.63 | |
Horizon BCBS
| Facility | $182.35 | $4,207.00 | $8,702.00 | |
Horizon BCBS
| Professional | $182.35 | $182.35 | $182.35 | |
United
| Professional | $109.41 | $156.30 | $265.70 |