| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $310.89 | $310.89 | $578.00 | |
Aetna
| Professional | $310.89 | $357.39 | $433.69 | |
Ambetter
| Professional | $684.93 | $684.93 | $684.93 | |
AmeriHealth
| Professional | $371.25 | $371.25 | $640.00 | |
Cigna
| Facility | $460.00 | $460.00 | $913.24 | |
Cigna
| Professional | $335.80 | $335.80 | $876.66 | |
Emblem Health
| Professional | $834.31 | $840.18 | $1,196.33 | |
Horizon BCBS
| Professional | $891.83 | $913.24 | $913.24 | |
United
| Professional | $338.66 | $455.60 | $838.40 |