| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $118.41 | $118.41 | $118.41 | |
Aetna
| Professional | $93.27 | $107.82 | $154.41 | |
Cigna
| Professional | $79.19 | $152.78 | $271.91 | |
Emblem Health
| Professional | $120.61 | $155.07 | $202.93 | |
Horizon BCBS
| Facility | $75.56 | $90.67 | $184.11 | |
Horizon BCBS
| Professional | $89.29 | $113.04 | $185.88 | |
United
| Professional | $79.81 | $120.72 | $220.94 |