| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $117.62 | $229.38 | $481.65 | |
Aetna
| Professional | $81.51 | $105.00 | $120.00 | |
Cigna
| Facility | $62.09 | $62.09 | $111.75 | |
Cigna
| Professional | $105.73 | $105.73 | $132.16 | |
Emblem Health
| Professional | $16.10 | $16.10 | $20.65 | |
Horizon BCBS
| Facility | $125.12 | $8,702.00 | $13,785.00 |