| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $147.91 | $147.91 | $147.91 | |
Aetna
| Professional | $131.83 | $181.97 | $316.23 | |
Cigna
| Facility | $263.03 | $309.03 | $309.03 | |
Cigna
| Professional | $229.09 | $229.09 | $309.03 | |
Emblem Health
| Professional | $173.78 | $288.40 | $380.19 | |
Horizon BCBS
| Professional | $257.04 | $346.74 | $346.74 | |
United
| Facility | $165.96 | $263.03 | $524.81 | |
United
| Professional | $190.55 | $213.80 | $338.84 |