| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $203.42 | $203.42 | $309.69 | |
Aetna
| Professional | $174.64 | $203.42 | $346.81 | |
Cigna
| Professional | $186.92 | $315.93 | $542.07 | |
Emblem Health
| Professional | $226.95 | $330.28 | $607.73 | |
Horizon BCBS
| Professional | $241.89 | $308.41 | $560.58 | |
United
| Professional | $171.96 | $243.24 | $444.54 |