| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $262.77 | $382.33 | $587.13 | |
Cigna
| Facility | $128.00 | $128.00 | $128.00 | |
Cigna
| Professional | $108.80 | $128.00 | $348.75 | |
Emblem Health
| Professional | $573.16 | $573.16 | $573.16 | |
Horizon BCBS
| Professional | $516.16 | $607.25 | $638.36 | |
United
| Professional | $398.82 | $455.44 | $671.63 |