| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $48.08 | $59.69 | $120.03 | |
Cigna
| Facility | $96.42 | $96.42 | $96.42 | |
Cigna
| Professional | $81.96 | $96.42 | $154.50 | |
Emblem Health
| Professional | $130.08 | $130.08 | $143.41 | |
Horizon BCBS
| Professional | $95.23 | $95.23 | $95.23 | |
United
| Professional | $62.79 | $75.87 | $156.97 |