| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $213.80 | $323.59 | $478.63 | |
AmeriHealth
| Professional | $645.65 | $645.65 | $645.65 | |
Cigna
| Facility | $281.84 | $281.84 | $426.58 | |
Cigna
| Professional | $239.88 | $281.84 | $707.95 | |
Emblem Health
| Professional | $1,445.44 | $1,445.44 | $1,445.44 | |
Horizon BCBS
| Professional | $407.38 | $407.38 | $436.52 | |
United
| Facility | $31.62 | $239.88 | $660.69 | |
United
| Professional | $239.88 | $346.74 | $562.34 |