| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $539.44 | $539.44 | $539.44 | |
Aetna
| Professional | $432.84 | $521.50 | $612.49 | |
Cigna
| Professional | $478.09 | $656.97 | $1,162.42 | |
Emblem Health
| Professional | $383.80 | $383.80 | $517.63 | |
Horizon BCBS
| Professional | $263.38 | $414.62 | $814.50 | |
United
| Professional | $263.70 | $399.42 | $699.77 |