| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $430.08 | $430.08 | $430.08 | |
Aetna
| Professional | $430.08 | $569.10 | $838.38 | |
Cigna
| Facility | $1,014.49 | $1,014.49 | $1,263.33 | |
Cigna
| Professional | $740.58 | $740.58 | $1,106.22 | |
Emblem Health
| Professional | $1,154.15 | $1,162.26 | $1,654.96 | |
Horizon BCBS
| Professional | $1,233.72 | $1,263.33 | $1,263.33 | |
United
| Professional | $569.08 | $630.26 | $1,263.33 |