| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $660.69 | $660.69 | $660.69 | |
Aetna
| Professional | $660.69 | $851.14 | $1,445.44 | |
Cigna
| Facility | $1,023.29 | $1,023.29 | $1,995.26 | |
Cigna
| Professional | $741.31 | $741.31 | $1,023.29 | |
Emblem Health
| Professional | $1,288.25 | $2,089.30 | $2,884.03 | |
Horizon BCBS
| Professional | $1,949.84 | $1,949.84 | $1,949.84 | |
United
| Facility | $602.56 | $1,862.09 | $2,187.76 | |
United
| Professional | $758.58 | $977.24 | $1,584.89 |