| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $324.45 | $324.45 | $324.45 | |
Aetna
| Professional | $283.01 | $335.94 | $647.63 | |
Cigna
| Facility | $255.74 | $255.74 | $255.74 | |
Cigna
| Professional | $217.38 | $255.74 | $840.00 | |
Emblem Health
| Professional | $775.20 | $775.20 | $775.20 | |
Horizon BCBS
| Professional | $484.00 | $484.00 | $484.00 | |
United
| Professional | $272.32 | $366.81 | $612.50 |