| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $734.82 | $734.82 | $734.82 | |
Aetna
| Professional | $734.82 | $844.70 | $1,091.84 | |
Cigna
| Facility | $1,108.41 | $1,108.41 | $2,158.52 | |
Cigna
| Professional | $809.14 | $809.14 | $1,890.07 | |
Emblem Health
| Professional | $1,971.95 | $1,985.84 | $2,827.66 | |
Horizon BCBS
| Professional | $2,107.92 | $2,158.52 | $2,158.52 | |
United
| Professional | $791.38 | $1,076.85 | $2,158.52 |