| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $108.48 | $210.45 | $417.67 | |
Aetna
| Professional | $66.56 | $95.18 | $109.50 | |
Cigna
| Facility | $257.29 | $257.29 | $309.00 | |
Emblem Health
| Professional | $66.29 | $66.29 | $66.29 | |
Horizon BCBS
| Facility | $252.90 | $356.30 | $679.56 | |
Horizon BCBS
| Professional | $77.89 | $106.65 | $153.16 | |
United
| Professional | $27.27 | $88.54 | $174.13 |