| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | 26 | $147.91 | $478.63 | $3,801.89 |
Aetna
| Professional | $269.15 | $398.11 | $870.96 | |
AmeriHealth
| Professional | $407.38 | $407.38 | $407.38 | |
Cigna
| Professional | $281.84 | $478.63 | $794.33 | |
Emblem Health
| Professional | $398.11 | $478.63 | $645.65 | |
Horizon BCBS
| Professional | $338.84 | $398.11 | $645.65 | |
United
| Professional | $295.12 | $524.81 | $1,023.29 |