| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $431.67 | $558.42 | $1,104.38 | |
Cigna
| Facility | $867.37 | $867.37 | $867.37 | |
Cigna
| Professional | $737.26 | $867.37 | $1,530.00 | |
Emblem Health
| Professional | $3,259.65 | $3,259.65 | $3,259.65 | |
Horizon BCBS
| Professional | $880.32 | $880.32 | $880.32 | |
United
| Professional | $546.08 | $767.88 | $1,237.04 |