| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $154.59 | $191.91 | $402.91 | |
Cigna
| Facility | $229.50 | $229.50 | $229.50 | |
Cigna
| Professional | $195.08 | $229.50 | $562.50 | |
Emblem Health
| Professional | $401.85 | $401.85 | $461.05 | |
Horizon BCBS
| Professional | $274.76 | $297.47 | $297.47 | |
United
| Professional | $199.09 | $264.02 | $374.20 |