| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $234.60 | $281.52 | $615.66 | |
Aetna
| Professional | $48.10 | $190.44 | $234.60 | |
Cigna
| Facility | $49.01 | $57.66 | $63.43 | |
Cigna
| Professional | $57.66 | $57.66 | $57.66 | |
Emblem Health
| Professional | $234.60 | $248.40 | $248.40 | |
Horizon BCBS
| Professional | $234.60 | $234.60 | $234.60 | |
United
| Professional | $276.00 | $291.18 | $307.48 |