| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $149.22 | $149.22 | $149.22 | |
Aetna
| Professional | $132.04 | $164.72 | $263.54 | |
Cigna
| Facility | $258.08 | $312.30 | $312.30 | |
Cigna
| Professional | $227.98 | $227.98 | $327.08 | |
Emblem Health
| Professional | $237.44 | $283.89 | $384.54 | |
Horizon BCBS
| Professional | $280.07 | $280.07 | $349.98 | |
United
| Professional | $177.80 | $209.99 | $357.53 |