| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $159.31 | $209.10 | $638.82 | |
Aetna
| Professional | $22.61 | $159.31 | $425.04 | |
Cigna
| Professional | $18.69 | $108.10 | $497.96 | |
Emblem Health
| Professional | $348.42 | $472.30 | $516.57 | |
Horizon BCBS
| Facility | $783.87 | $935.50 | $1,972.74 | |
Horizon BCBS
| Professional | $61.41 | $307.16 | $495.19 | |
United
| Professional | $23.80 | $270.25 | $393.97 |