| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $201.94 | $201.94 | $201.94 | |
Aetna
| Professional | $130.84 | $161.83 | $245.89 | |
Cigna
| Professional | $160.94 | $160.94 | $160.94 | |
Emblem Health
| Professional | $288.97 | $360.53 | $481.62 | |
Horizon BCBS
| Professional | $200.21 | $235.54 | $248.54 | |
United
| Professional | $144.59 | $144.59 | $215.17 |