| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $327.13 | $327.13 | $327.13 | |
Aetna
| Professional | $285.30 | $338.78 | $656.76 | |
Cigna
| Facility | $370.80 | $370.80 | $370.80 | |
Cigna
| Professional | $315.18 | $370.80 | $862.50 | |
Emblem Health
| Professional | $755.82 | $755.82 | $755.82 | |
Horizon BCBS
| Professional | $29.09 | $29.09 | $491.44 | |
United
| Professional | $313.82 | $368.82 | $554.25 |