| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $42.77 | $53.09 | $96.53 | |
Cigna
| Facility | $74.67 | $74.67 | $74.67 | |
Cigna
| Professional | $63.47 | $74.67 | $128.25 | |
Emblem Health
| Professional | $102.19 | $102.19 | $127.56 | |
Horizon BCBS
| Professional | $77.52 | $77.52 | $77.52 | |
United
| Professional | $52.65 | $62.95 | $103.91 |