| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $549.41 | $549.41 | $549.41 | |
Aetna
| Professional | $389.24 | $464.50 | $549.41 | |
Cigna
| Facility | $632.19 | $632.19 | $759.25 | |
Cigna
| Professional | $300.89 | $573.40 | $1,503.60 | |
Emblem Health
| Professional | $582.36 | $748.75 | $958.99 | |
Horizon BCBS
| Facility | $610.96 | $729.14 | $1,537.57 | |
Horizon BCBS
| Professional | $344.76 | $436.47 | $798.20 | |
United
| Professional | $348.18 | $487.69 | $960.63 |