| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $55.60 | $76.68 | $140.16 | |
Cigna
| Facility | $111.50 | $111.50 | $111.50 | |
Cigna
| Professional | $94.78 | $111.50 | $193.50 | |
Emblem Health
| Professional | $147.44 | $147.44 | $165.84 | |
Horizon BCBS
| Professional | $108.54 | $108.54 | $108.54 | |
United
| Professional | $72.61 | $88.17 | $110.19 |