| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $119.56 | $119.56 | $119.56 | |
Aetna
| Professional | $99.83 | $131.97 | $193.30 | |
Cigna
| Facility | $190.32 | $211.82 | $211.82 | |
Cigna
| Professional | $154.63 | $154.63 | $246.38 | |
Emblem Health
| Professional | $175.09 | $209.35 | $308.07 | |
Horizon BCBS
| Professional | $21.24 | $21.24 | $280.39 | |
United
| Professional | $132.90 | $168.24 | $277.07 |