| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $115.22 | $126.86 | $188.15 | |
Cigna
| Facility | $126.72 | $126.72 | $169.65 | |
Cigna
| Professional | $107.71 | $126.72 | $207.75 | |
Emblem Health
| Professional | $169.00 | $169.00 | $343.64 | |
Horizon BCBS
| Professional | $152.36 | $152.36 | $152.36 | |
United
| Professional | $111.19 | $142.59 | $290.08 |