| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | 26 | $62.54 | $62.55 | $289.12 |
Aetna
| Professional | $194.73 | $287.06 | $380.56 | |
Cigna
| Professional | $237.56 | $401.42 | $716.27 | |
Emblem Health
| Professional | $366.01 | $366.01 | $366.01 | |
Horizon BCBS
| Professional | $227.78 | $288.30 | $424.30 | |
United
| Professional | $266.52 | $360.18 | $623.52 |