| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $50.88 | $63.16 | $122.33 | |
Cigna
| Facility | $94.65 | $94.65 | $124.23 | |
Cigna
| Professional | $80.45 | $94.65 | $165.75 | |
Emblem Health
| Professional | $125.10 | $125.10 | $151.75 | |
Horizon BCBS
| Professional | $94.10 | $94.10 | $94.10 | |
United
| Professional | $63.52 | $82.34 | $161.83 |