| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $336.05 | $667.57 | $695.78 | |
Cigna
| Facility | $405.00 | $405.00 | $413.10 | |
Cigna
| Professional | $344.25 | $405.00 | $750.00 | |
Emblem Health
| Professional | $3,927.21 | $3,927.21 | $3,927.21 | |
Horizon BCBS
| Professional | $637.50 | $637.50 | $750.00 |