| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $281.01 | $408.99 | $627.90 | |
Cigna
| Facility | $200.00 | $200.00 | $200.00 | |
Cigna
| Professional | $170.00 | $200.00 | $686.25 | |
Emblem Health
| Professional | $898.27 | $898.27 | $898.27 | |
Horizon BCBS
| Professional | $552.00 | $649.41 | $682.68 | |
United
| Professional | $358.55 | $498.00 | $753.27 |