| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $357.04 | $357.04 | $357.04 | |
Aetna
| Professional | $357.04 | $456.41 | $577.16 | |
Cigna
| Facility | $695.41 | $695.41 | $1,048.77 | |
Cigna
| Professional | $507.65 | $507.65 | $918.34 | |
Emblem Health
| Professional | $958.13 | $964.87 | $1,373.89 | |
Horizon BCBS
| Professional | $998.24 | $1,048.77 | $1,048.77 | |
United
| Professional | $434.83 | $523.22 | $1,048.77 |