| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $595.07 | $595.07 | $595.07 | |
Aetna
| Professional | $595.07 | $760.70 | $961.94 | |
Cigna
| Facility | $1,162.20 | $1,162.20 | $1,748.01 | |
Cigna
| Professional | $848.41 | $848.41 | $1,530.62 | |
Emblem Health
| Professional | $1,596.94 | $1,608.17 | $2,289.89 | |
Horizon BCBS
| Professional | $1,671.46 | $1,748.01 | $1,748.01 | |
United
| Professional | $724.73 | $872.06 | $1,748.01 |