| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $67.15 | $67.15 | $80.83 | |
Cigna
| Facility | $30.72 | $30.72 | $30.72 | |
Cigna
| Professional | $26.11 | $30.72 | $869.25 | |
Emblem Health
| Professional | $432.38 | $432.38 | $432.38 | |
Horizon BCBS
| Professional | $212.50 | $250.00 | $250.00 |