| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $100.00 | $229.09 | $1,059.33 | |
Aetna
| Professional | $100.00 | $144.46 | $312.45 | |
Cigna
| Facility | $181.03 | $408.50 | $848.65 | |
Cigna
| Professional | $109.17 | $192.23 | $397.46 | |
Emblem Health
| Professional | $129.63 | $194.46 | $268.54 | |
Horizon BCBS
| Facility | $8,702.00 | $13,785.00 | $13,785.00 | |
United
| Professional | $77.78 | $111.12 | $188.90 |