| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $240.80 | $412.99 | $412.99 | |
Cigna
| Facility | $296.00 | $296.00 | $296.00 | |
Cigna
| Professional | $251.60 | $251.60 | $296.00 | |
Emblem Health
| Professional | $783.92 | $783.92 | $783.92 | |
Horizon BCBS
| Professional | $306.43 | $306.43 | $360.50 |