| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $120.00 | $120.00 | $120.00 | |
Aetna
| Professional | $38.52 | $49.70 | $120.00 | |
Cigna
| Professional | $47.73 | $62.12 | $112.89 | |
Emblem Health
| Professional | $60.09 | $73.48 | $105.93 | |
Horizon BCBS
| Facility | $306.98 | $348.62 | $772.53 | |
Horizon BCBS
| Professional | $37.83 | $56.35 | $95.46 | |
United
| Professional | $36.49 | $51.09 | $89.94 |