| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $258.16 | $258.16 | $258.16 | |
Aetna
| Professional | $183.04 | $235.00 | $258.16 | |
Cigna
| Professional | $227.92 | $293.64 | $535.62 | |
Emblem Health
| Professional | $284.95 | $348.47 | $502.37 | |
Horizon BCBS
| Facility | $306.98 | $380.40 | $824.88 | |
Horizon BCBS
| Professional | $179.00 | $271.74 | $428.64 | |
United
| Professional | $168.83 | $230.30 | $425.09 |