| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $238.98 | $238.98 | $287.22 | |
Cigna
| Facility | $180.13 | $180.13 | $180.13 | |
Cigna
| Professional | $153.11 | $180.13 | $180.13 | |
Emblem Health
| Professional | $581.40 | $581.40 | $581.40 | |
Horizon BCBS
| Professional | $135.58 | $135.58 | $159.50 |