| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $153.37 | $231.39 | $414.61 | |
Cigna
| Facility | $307.55 | $307.55 | $307.55 | |
Cigna
| Professional | $261.42 | $261.42 | $725.63 | |
Emblem Health
| Professional | $457.42 | $457.42 | $460.63 | |
Horizon BCBS
| Professional | $333.06 | $333.06 | $333.06 | |
United
| Professional | $200.27 | $247.71 | $459.67 |