| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $404.88 | $404.88 | $404.88 | |
Aetna
| Professional | $324.61 | $388.58 | $499.85 | |
Ambetter
| Professional | $225.00 | $387.12 | $500.00 | |
Cigna
| Professional | $375.51 | $505.27 | $894.47 | |
Emblem Health
| Professional | $429.71 | $572.94 | $750.79 | |
Horizon BCBS
| Professional | $306.89 | $448.56 | $766.02 | |
United
| Professional | $293.39 | $424.44 | $804.45 |