| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $185.71 | $185.71 | $185.71 | |
Aetna
| Professional | $185.71 | $215.40 | $273.58 | |
Cigna
| Facility | $297.02 | $297.02 | $545.54 | |
Cigna
| Professional | $216.82 | $216.82 | $477.69 | |
Emblem Health
| Professional | $498.38 | $501.90 | $714.66 | |
Horizon BCBS
| Professional | $519.25 | $545.54 | $545.54 | |
United
| Professional | $206.35 | $272.16 | $500.82 |