| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $575.28 | $575.28 | $919.97 | |
Aetna
| Professional | $254.47 | $561.74 | $575.28 | |
Cigna
| Facility | $288.54 | $339.46 | $373.41 | |
Cigna
| Professional | $358.29 | $358.29 | $358.29 | |
Emblem Health
| Professional | $55.92 | $55.92 | $575.28 | |
Horizon BCBS
| Professional | $378.85 | $445.71 | $468.55 | |
United
| Professional | $676.80 | $676.80 | $710.64 |