| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $290.89 | $290.89 | $290.89 | |
Aetna
| Professional | $253.73 | $319.75 | $599.60 | |
Cigna
| Facility | $429.00 | $429.00 | $429.00 | |
Cigna
| Professional | $364.65 | $429.00 | $810.00 | |
Emblem Health
| Professional | $726.75 | $726.75 | $726.75 | |
Horizon BCBS
| Professional | $457.76 | $457.76 | $457.76 | |
United
| Professional | $272.19 | $328.37 | $595.52 |