| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $144.61 | $144.61 | $144.61 | |
Aetna
| Professional | $120.72 | $159.61 | $233.74 | |
Cigna
| Facility | $230.13 | $278.10 | $278.10 | |
Cigna
| Professional | $203.01 | $203.01 | $298.13 | |
Emblem Health
| Professional | $211.72 | $253.14 | $372.61 | |
Horizon BCBS
| Professional | $230.13 | $339.12 | $339.12 | |
United
| Professional | $160.69 | $203.47 | $335.07 |