| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $245.47 | $309.03 | $501.19 | |
Cigna
| Facility | $380.19 | $380.19 | $380.19 | |
Cigna
| Professional | $316.23 | $380.19 | $660.69 | |
Emblem Health
| Professional | $354.81 | $501.19 | $676.08 | |
Horizon BCBS
| Professional | $380.19 | $380.19 | $501.19 | |
United
| Facility | $33.88 | $269.15 | $562.34 | |
United
| Professional | $269.15 | $354.81 | $602.56 |