| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $465.17 | $465.17 | $465.17 | |
Aetna
| Professional | $394.63 | $465.17 | $752.46 | |
Cigna
| Professional | $59.64 | $577.92 | $1,082.81 | |
Emblem Health
| Professional | $1,938.00 | $1,938.00 | $1,938.00 | |
Horizon BCBS
| Professional | $557.76 | $557.76 | $557.76 | |
United
| Professional | $396.88 | $521.79 | $796.87 |