| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $380.85 | $380.85 | $380.85 | |
Aetna
| Professional | $330.18 | $420.37 | $615.59 | |
Cigna
| Facility | $636.97 | $636.97 | $712.60 | |
Cigna
| Professional | $464.99 | $464.99 | $748.13 | |
Emblem Health
| Professional | $595.77 | $712.34 | $848.33 | |
Horizon BCBS
| Professional | $647.58 | $877.36 | $877.36 | |
United
| Professional | $469.70 | $526.41 | $885.07 |