| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $359.21 | $359.21 | $359.21 | |
Aetna
| Professional | $359.21 | $459.19 | $580.66 | |
Cigna
| Facility | $702.03 | $702.03 | $1,055.16 | |
Cigna
| Professional | $512.48 | $512.48 | $923.94 | |
Emblem Health
| Professional | $963.98 | $970.75 | $1,382.26 | |
Horizon BCBS
| Professional | $1,030.43 | $1,055.16 | $1,055.16 | |
United
| Professional | $437.48 | $532.15 | $968.70 |