| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $20.00 | $20.00 | $228.96 | |
Aetna
| Professional | $13.36 | $20.00 | $501.96 | |
Cigna
| Professional | $10.25 | $87.75 | $492.75 | |
Emblem Health
| Professional | $427.63 | $579.66 | $635.79 | |
Horizon BCBS
| Facility | $465.27 | $483.09 | $1,047.55 | |
Horizon BCBS
| Professional | $179.59 | $301.20 | $497.70 | |
United
| Professional | $63.20 | $280.38 | $390.35 |