| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $196.99 | $256.69 | $507.65 | |
AmeriHealth
| Professional | $647.61 | $647.61 | $647.61 | |
Cigna
| Facility | $283.73 | $283.73 | $423.43 | |
Cigna
| Professional | $241.17 | $283.73 | $705.00 | |
Emblem Health
| Professional | $1,402.13 | $1,402.13 | $1,402.13 | |
Horizon BCBS
| Professional | $404.64 | $404.64 | $404.64 | |
United
| Professional | $250.44 | $344.16 | $476.83 |