| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $68.81 | $68.81 | $4,164.93 | |
Aetna
| Professional | $55.86 | $67.19 | $68.81 | |
Cigna
| Facility | $66.51 | $68.81 | $86.08 | |
Cigna
| Professional | $68.81 | $68.81 | $68.81 | |
Emblem Health
| Professional | $16.63 | $16.63 | $17.61 |