| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $115.83 | $156.22 | $256.52 | |
Cigna
| Facility | $244.43 | $244.43 | $244.43 | |
Cigna
| Professional | $178.43 | $207.77 | $358.88 | |
Emblem Health
| Professional | $305.43 | $305.43 | $337.38 | |
Horizon BCBS
| Professional | $223.72 | $223.72 | $223.72 | |
United
| Professional | $145.06 | $173.42 | $253.49 |