| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $97.24 | $106.81 | $183.72 | |
Cigna
| Facility | $123.59 | $123.59 | $123.59 | |
Cigna
| Professional | $105.05 | $123.59 | $222.38 | |
Emblem Health
| Professional | $156.85 | $156.85 | $284.13 | |
Horizon BCBS
| Professional | $136.13 | $136.13 | $136.13 | |
United
| Professional | $95.59 | $136.72 | $235.39 |