| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $136.32 | $203.12 | $368.36 | |
Cigna
| Facility | $38.92 | $219.78 | $219.78 | |
Cigna
| Professional | $186.81 | $186.81 | $646.88 | |
Emblem Health
| Professional | $486.44 | $486.44 | $486.44 | |
Horizon BCBS
| Professional | $295.92 | $295.92 | $295.92 | |
United
| Professional | $201.23 | $249.04 | $389.98 |