| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $528.01 | $528.01 | $528.01 | |
Aetna
| Professional | $528.01 | $674.97 | $853.53 | |
Cigna
| Facility | $1,115.23 | $1,115.23 | $1,551.00 | |
Cigna
| Professional | $814.12 | $814.12 | $1,358.11 | |
Emblem Health
| Professional | $1,416.96 | $1,426.92 | $2,031.81 | |
Horizon BCBS
| Professional | $1,476.27 | $1,551.00 | $1,551.00 | |
United
| Professional | $643.05 | $773.78 | $1,423.90 |