| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $166.85 | $207.13 | $373.71 | |
Cigna
| Facility | $277.51 | $277.51 | $371.51 | |
Cigna
| Professional | $235.88 | $277.51 | $492.00 | |
Emblem Health
| Professional | $373.92 | $373.92 | $497.62 | |
Horizon BCBS
| Professional | $289.29 | $289.29 | $289.29 | |
United
| Professional | $201.65 | $251.97 | $403.88 |