| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $44.67 | $44.67 | $44.67 | |
Aetna
| Professional | $44.67 | $44.67 | $44.67 | |
Cigna
| Facility | $380.19 | $380.19 | $380.19 | |
Cigna
| Professional | $275.42 | $275.42 | $275.42 | |
Emblem Health
| Professional | $38,018.94 | $38,018.94 | $38,018.94 | |
Horizon BCBS
| Professional | $125.89 | $147.91 | $147.91 | |
United
| Facility | $489.78 | $489.78 | $489.78 |