| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $535.01 | $678.78 | $679.37 | |
Cigna
| Facility | $536.83 | $536.83 | $536.83 | |
Cigna
| Professional | $456.31 | $536.83 | $536.83 | |
Emblem Health
| Professional | $1,162.80 | $1,162.80 | $1,162.80 | |
Horizon BCBS
| Professional | $760.28 | $760.28 | $894.45 |