| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $69.50 | $86.28 | $155.93 | |
Cigna
| Facility | $115.51 | $115.51 | $151.61 | |
Cigna
| Professional | $98.18 | $115.51 | $205.50 | |
Emblem Health
| Professional | $148.22 | $148.22 | $207.29 | |
Horizon BCBS
| Professional | $116.50 | $116.50 | $116.50 | |
United
| Professional | $83.38 | $101.19 | $168.23 |