| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $239.81 | $239.81 | $239.81 | |
Aetna
| Professional | $239.81 | $294.35 | $387.62 | |
Cigna
| Facility | $437.50 | $437.50 | $676.39 | |
Cigna
| Professional | $319.38 | $319.38 | $592.27 | |
Emblem Health
| Professional | $617.92 | $622.28 | $886.07 | |
Horizon BCBS
| Professional | $660.54 | $676.39 | $676.39 | |
United
| Professional | $303.70 | $337.45 | $676.39 |