| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $447.92 | $447.92 | $447.92 | |
Aetna
| Professional | $399.77 | $494.39 | $791.02 | |
Cigna
| Facility | $788.33 | $854.15 | $854.15 | |
Cigna
| Professional | $623.53 | $623.53 | $989.26 | |
Emblem Health
| Professional | $725.26 | $867.16 | $1,154.15 | |
Horizon BCBS
| Professional | $788.33 | $1,050.44 | $1,050.44 | |
United
| Professional | $524.78 | $630.26 | $1,080.91 |