| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $106.92 | $132.72 | $217.74 | |
Cigna
| Facility | $160.96 | $160.96 | $215.49 | |
Cigna
| Professional | $136.82 | $160.96 | $274.13 | |
Emblem Health
| Professional | $206.80 | $206.80 | $318.88 | |
Horizon BCBS
| Professional | $23.61 | $167.94 | $167.94 | |
United
| Professional | $125.95 | $157.28 | $258.81 |