| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $306.76 | $462.82 | $829.32 | |
Cigna
| Facility | $615.17 | $615.17 | $615.17 | |
Cigna
| Professional | $522.90 | $615.17 | $1,161.00 | |
Emblem Health
| Professional | $914.93 | $914.93 | $921.37 | |
Horizon BCBS
| Professional | $666.18 | $677.36 | $677.36 | |
United
| Professional | $351.41 | $499.64 | $619.61 |