| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | 26 | $102.33 | $186.21 | $302.00 |
Aetna
| Professional | $213.80 | $275.42 | $660.69 | |
Cigna
| Professional | $223.87 | $389.05 | $660.69 | |
Emblem Health
| Professional | $380.19 | $380.19 | $380.19 | |
Horizon BCBS
| Professional | $275.42 | $323.59 | $549.54 | |
United
| Professional | $251.19 | $363.08 | $630.96 |