| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $67.61 | $67.61 | $123.03 | |
Cigna
| Facility | $30.90 | $30.90 | $30.90 | |
Cigna
| Professional | $26.30 | $30.90 | $870.96 | |
Emblem Health
| Professional | $446.68 | $446.68 | $446.68 | |
Horizon BCBS
| Professional | $213.80 | $251.19 | $251.19 |