| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $78.39 | $97.31 | $168.87 | |
Cigna
| Facility | $112.00 | $112.73 | $112.73 | |
Cigna
| Professional | $95.82 | $112.73 | $221.25 | |
Emblem Health
| Professional | $163.38 | $163.38 | $233.78 | |
Horizon BCBS
| Professional | $17.30 | $129.52 | $129.52 | |
United
| Professional | $81.88 | $100.24 | $163.54 |