| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $165.97 | $211.58 | $390.46 | |
Cigna
| Facility | $332.93 | $332.93 | $332.93 | |
Cigna
| Professional | $282.99 | $332.93 | $525.00 | |
Emblem Health
| Professional | $346.29 | $346.29 | $495.01 | |
Horizon BCBS
| Professional | $303.68 | $303.68 | $303.68 | |
United
| Professional | $226.24 | $266.27 | $401.75 |