| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $233.60 | $275.70 | $275.70 | |
Cigna
| Facility | $226.63 | $226.63 | $226.63 | |
Cigna
| Professional | $192.64 | $192.64 | $226.63 | |
Emblem Health
| Professional | $597.15 | $597.15 | $597.15 | |
Horizon BCBS
| Professional | $319.52 | $319.52 | $375.90 |