| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $730.02 | $730.02 | $730.02 | |
Aetna
| Professional | $730.02 | $929.15 | $1,202.46 | |
Cigna
| Facility | $1,304.10 | $1,304.10 | $2,144.42 | |
Cigna
| Professional | $952.00 | $952.00 | $1,877.73 | |
Emblem Health
| Professional | $1,959.08 | $1,972.87 | $2,809.19 | |
Horizon BCBS
| Professional | $2,094.16 | $2,144.42 | $2,144.42 | |
United
| Professional | $906.93 | $1,069.82 | $2,144.42 |