| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $578.79 | $578.79 | $578.79 | |
Aetna
| Professional | $578.79 | $739.88 | $958.79 | |
Cigna
| Facility | $1,030.36 | $1,030.36 | $1,700.18 | |
Cigna
| Professional | $752.17 | $752.17 | $1,893.75 | |
Emblem Health
| Professional | $1,553.24 | $1,564.17 | $2,227.23 | |
Horizon BCBS
| Professional | $1,488.74 | $1,660.33 | $1,700.18 | |
United
| Professional | $719.81 | $848.20 | $1,700.18 |