| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $165.96 | $229.09 | $1,000.00 | |
Aetna
| Professional | $95.50 | $141.25 | $218.78 | |
Cigna
| Facility | $199.53 | $389.05 | $794.33 | |
Cigna
| Professional | $97.72 | $165.96 | $316.23 | |
Emblem Health
| Professional | $123.03 | $181.97 | $331.13 | |
Horizon BCBS
| Facility | $151.36 | $10,471.29 | $25,118.86 | |
Horizon BCBS
| Professional | $138.04 | $138.04 | $173.78 | |
United
| Facility | $81.28 | $173.78 | $354.81 | |
United
| Professional | $69.18 | $104.71 | $181.97 |