| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $183.09 | $183.09 | $183.09 | |
Aetna
| Professional | $170.45 | $202.09 | $323.33 | |
Cigna
| Facility | $328.86 | $382.03 | $382.03 | |
Cigna
| Professional | $278.88 | $278.88 | $408.03 | |
Emblem Health
| Professional | $302.55 | $361.75 | $471.78 | |
Horizon BCBS
| Professional | $328.86 | $429.38 | $429.38 | |
United
| Professional | $222.29 | $257.63 | $445.60 |