| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $100.00 | $100.00 | $100.00 | |
Aetna
| Professional | $100.00 | $100.00 | $100.00 | |
Cigna
| Professional | $112.20 | $112.20 | $112.20 | |
Emblem Health
| Professional | $38,018.94 | $38,018.94 | $38,018.94 | |
Horizon BCBS
| Professional | $281.84 | $281.84 | $331.13 |