| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $206.78 | $206.78 | $206.78 | |
Aetna
| Professional | $206.78 | $246.87 | $312.22 | |
Cigna
| Facility | $313.99 | $379.04 | $607.39 | |
Cigna
| Professional | $276.70 | $276.70 | $661.13 | |
Emblem Health
| Professional | $554.91 | $558.79 | $795.68 | |
Horizon BCBS
| Professional | $593.15 | $607.39 | $607.39 | |
United
| Facility | $259.82 | $259.82 | $259.82 | |
United
| Professional | $235.48 | $303.02 | $607.39 |