| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $57.61 | $231.00 | $887.08 | |
Aetna
| Professional | $47.74 | $60.59 | $103.98 | |
AmeriHealth
| Facility | $223.20 | $261.80 | $442.85 | |
AmeriHealth
| Professional | $65.93 | $105.00 | $205.40 | |
Cigna
| Facility | $163.65 | $163.65 | $163.65 | |
Cigna
| Professional | $60.56 | $86.23 | $121.65 | |
Emblem Health
| Professional | $45.00 | $55.00 | $110.00 | |
Horizon BCBS
| Professional | $62.67 | $73.73 | $115.07 | |
United
| Professional | $60.06 | $80.39 | $107.81 |