| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $889.50 | $889.50 | $889.50 | |
Aetna
| Professional | $555.95 | $851.10 | $1,019.94 | |
Cigna
| Professional | $71.76 | $318.16 | $5,096.25 | |
Emblem Health
| Professional | $73.23 | $73.23 | $73.23 | |
Horizon BCBS
| Professional | $120.00 | $120.00 | $120.00 | |
United
| Professional | $60.85 | $82.06 | $173.32 |