| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $390.26 | $390.26 | $390.26 | |
Aetna
| Professional | $390.26 | $498.88 | $647.66 | |
Cigna
| Facility | $711.81 | $711.81 | $1,146.39 | |
Cigna
| Professional | $519.62 | $519.62 | $1,003.82 | |
Emblem Health
| Professional | $1,047.31 | $1,054.68 | $1,501.77 | |
Horizon BCBS
| Professional | $1,119.52 | $1,146.39 | $1,146.39 | |
United
| Professional | $488.49 | $571.91 | $1,146.39 |