| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $39.47 | $105.36 | $418.58 | |
Aetna
| Professional | $105.36 | $143.62 | $195.11 | |
AmeriHealth
| Professional | $302.45 | $302.45 | $302.45 | |
Cigna
| Facility | $175.30 | $216.42 | $309.48 | |
Cigna
| Professional | $157.99 | $157.99 | $297.08 | |
Emblem Health
| Professional | $282.74 | $284.72 | $405.42 | |
Horizon BCBS
| Professional | $143.18 | $143.18 | $205.86 | |
United
| Facility | $116.58 | $153.02 | $309.48 | |
United
| Professional | $139.55 | $154.40 | $309.48 |