| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $23.94 | $41.36 | $10,692.00 | |
Aetna
| Professional | $17.64 | $41.13 | $81.15 | |
Cigna
| Facility | $29.04 | $309.00 | $2,066.00 | |
Cigna
| Professional | $74.09 | $74.09 | $74.09 | |
Emblem Health
| Professional | $97.04 | $121.25 | $164.23 | |
Horizon BCBS
| Facility | $402.71 | $483.09 | $483.09 | |
Horizon BCBS
| Professional | $64.98 | $76.45 | $79.76 | |
United
| Professional | $31.23 | $72.56 | $167.64 |