| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $123.27 | $202.40 | $319.89 | |
Cigna
| Facility | $267.62 | $267.62 | $330.59 | |
Cigna
| Professional | $227.48 | $267.62 | $445.88 | |
Emblem Health
| Professional | $353.88 | $353.88 | $367.67 | |
Horizon BCBS
| Professional | $27.19 | $254.98 | $254.98 | |
United
| Professional | $157.41 | $215.38 | $313.01 |