| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $121.22 | $121.22 | $121.22 | |
Aetna
| Professional | $111.15 | $134.36 | $194.76 | |
Cigna
| Facility | $204.55 | $214.95 | $221.81 | |
Cigna
| Professional | $156.91 | $156.91 | $256.13 | |
Emblem Health
| Professional | $204.07 | $243.99 | $325.31 | |
Horizon BCBS
| Professional | $221.81 | $296.08 | $296.08 | |
United
| Professional | $147.74 | $177.65 | $274.29 |