| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $428.03 | $428.03 | $428.03 | |
Aetna
| Professional | $357.38 | $472.43 | $692.02 | |
Cigna
| Facility | $681.32 | $758.68 | $758.68 | |
Cigna
| Professional | $553.84 | $553.84 | $882.75 | |
Emblem Health
| Professional | $626.80 | $749.45 | $1,102.90 | |
Horizon BCBS
| Professional | $681.32 | $1,003.79 | $1,003.79 | |
United
| Professional | $509.19 | $602.27 | $968.49 |