| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $99.29 | $123.26 | $223.66 | |
Cigna
| Facility | $166.31 | $166.31 | $218.29 | |
Cigna
| Professional | $141.36 | $166.31 | $295.13 | |
Emblem Health
| Professional | $218.88 | $218.88 | $296.14 | |
Horizon BCBS
| Professional | $170.22 | $170.22 | $170.22 | |
United
| Professional | $120.00 | $156.66 | $271.12 |