| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $171.39 | $171.39 | $171.39 | |
Aetna
| Professional | $143.10 | $189.17 | $277.08 | |
AmeriHealth
| Professional | $362.20 | $362.20 | $362.20 | |
Cigna
| Facility | $272.81 | $301.51 | $301.51 | |
Cigna
| Professional | $220.10 | $220.10 | $353.25 | |
Emblem Health
| Professional | $250.99 | $300.08 | $441.62 | |
Horizon BCBS
| Professional | $272.81 | $401.95 | $401.95 | |
United
| Professional | $190.50 | $241.17 | $397.17 |