| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $401.87 | $401.87 | $401.87 | |
Aetna
| Professional | $401.87 | $513.71 | $649.63 | |
Cigna
| Facility | $944.53 | $944.53 | $1,180.47 | |
Cigna
| Professional | $689.51 | $689.51 | $1,033.66 | |
Emblem Health
| Professional | $1,078.44 | $1,086.03 | $1,546.42 | |
Horizon BCBS
| Professional | $1,152.80 | $1,180.47 | $1,180.47 | |
United
| Professional | $489.43 | $588.91 | $1,180.47 |