| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $55.00 | $55.00 | $310.52 | |
Cigna
| Facility | $167.92 | $308.23 | $538.54 | |
Emblem Health
| Professional | $55,249.45 | $55,249.45 | $55,249.45 | |
Horizon BCBS
| Facility | $292.10 | $322.80 | $655.56 |