| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $76.31 | $92.70 | $176.51 | |
AmeriHealth
| Professional | $851.70 | $851.70 | $851.70 | |
Cigna
| Facility | $130.68 | $130.68 | $171.51 | |
Cigna
| Professional | $111.08 | $130.68 | $241.50 | |
Emblem Health
| Professional | $169.25 | $169.25 | $213.70 | |
Horizon BCBS
| Professional | $128.84 | $128.84 | $128.84 | |
United
| Professional | $86.97 | $107.90 | $160.57 |