| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $65.77 | $81.65 | $146.35 | |
Cigna
| Facility | $115.90 | $115.90 | $144.38 | |
Cigna
| Professional | $98.52 | $115.90 | $192.00 | |
Emblem Health
| Professional | $142.05 | $142.05 | $196.16 | |
Horizon BCBS
| Professional | $111.19 | $111.19 | $111.19 | |
United
| Professional | $79.08 | $96.82 | $126.46 |