| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $230.26 | $230.26 | $230.26 | |
Aetna
| Professional | $230.26 | $294.35 | $372.22 | |
Cigna
| Facility | $386.84 | $386.84 | $676.39 | |
Cigna
| Professional | $282.39 | $282.39 | $592.27 | |
Emblem Health
| Professional | $617.92 | $622.28 | $886.07 | |
Horizon BCBS
| Professional | $660.54 | $676.39 | $676.39 | |
United
| Professional | $280.43 | $337.45 | $676.39 |