| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $67.03 | $83.21 | $151.55 | |
Cigna
| Facility | $64.17 | $64.17 | $64.17 | |
Cigna
| Professional | $54.54 | $64.17 | $202.50 | |
Emblem Health
| Professional | $134.50 | $134.50 | $199.92 | |
Horizon BCBS
| Professional | $110.64 | $110.64 | $110.64 | |
United
| Professional | $77.45 | $87.26 | $162.24 |