| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $186.51 | $186.51 | $186.51 | |
Aetna
| Professional | $186.51 | $259.92 | $318.18 | |
Cigna
| Facility | $331.03 | $331.03 | $547.87 | |
Cigna
| Professional | $241.65 | $241.65 | $479.73 | |
Emblem Health
| Professional | $500.53 | $504.04 | $717.71 | |
Horizon BCBS
| Professional | $535.03 | $547.87 | $547.87 | |
United
| Professional | $239.99 | $273.32 | $547.87 |