| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $130.16 | $130.16 | $130.16 | |
Aetna
| Professional | $86.42 | $130.16 | $220.66 | |
Cigna
| Facility | $178.39 | $178.39 | $178.39 | |
Cigna
| Professional | $130.22 | $130.22 | $215.20 | |
Emblem Health
| Professional | $243.43 | $245.15 | $349.08 | |
Horizon BCBS
| Professional | $233.33 | $253.63 | $266.47 | |
United
| Professional | $119.65 | $137.08 | $244.63 |