| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $314.52 | $314.52 | $314.52 | |
Aetna
| Professional | $263.81 | $314.52 | $581.25 | |
Cigna
| Facility | $316.74 | $316.74 | $316.74 | |
Cigna
| Professional | $269.23 | $316.74 | $791.25 | |
Emblem Health
| Professional | $697.68 | $697.68 | $697.68 | |
Horizon BCBS
| Professional | $466.88 | $466.88 | $466.88 | |
United
| Professional | $265.26 | $326.31 | $567.01 |