| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $223.75 | $256.07 | $446.29 | |
Cigna
| Facility | $310.87 | $310.87 | $416.18 | |
Cigna
| Professional | $264.24 | $310.87 | $543.75 | |
Emblem Health
| Professional | $375.68 | $375.68 | $696.50 | |
Horizon BCBS
| Professional | $326.42 | $326.42 | $326.42 | |
United
| Professional | $243.26 | $282.05 | $571.60 |