| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $318.23 | $439.93 | $908.63 | |
Cigna
| Facility | $687.90 | $687.90 | $687.90 | |
Cigna
| Professional | $584.72 | $687.90 | $1,188.75 | |
Emblem Health
| Professional | $775.20 | $775.20 | $775.20 | |
Horizon BCBS
| Professional | $32.45 | $638.24 | $638.24 | |
United
| Professional | $424.50 | $549.97 | $645.76 |