| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $307.47 | $307.47 | $307.47 | |
Aetna
| Professional | $307.47 | $393.04 | $497.00 | |
Cigna
| Facility | $576.88 | $576.88 | $903.16 | |
Cigna
| Professional | $421.12 | $421.12 | $790.84 | |
Emblem Health
| Professional | $825.10 | $830.91 | $1,183.14 | |
Horizon BCBS
| Professional | $881.99 | $903.16 | $903.16 | |
United
| Facility | $936.84 | $1,102.16 | $1,322.59 | |
United
| Professional | $374.45 | $450.58 | $829.14 |