| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $425.23 | $425.23 | $425.23 | |
Aetna
| Professional | $368.49 | $456.22 | $681.98 | |
Cigna
| Facility | $408.71 | $1,289.03 | $2,680.22 | |
Cigna
| Professional | $385.12 | $641.78 | $1,634.72 | |
Emblem Health
| Professional | $269.05 | $350.94 | $779.09 | |
Horizon BCBS
| Facility | $8,702.00 | $13,785.00 | $13,785.00 | |
Horizon BCBS
| Professional | $537.55 | $537.55 | $537.55 | |
United
| Professional | $245.66 | $350.94 | $796.75 |