| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $225.27 | $225.27 | $225.27 | |
Aetna
| Professional | $225.27 | $287.95 | $364.16 | |
Cigna
| Facility | $419.48 | $419.48 | $661.72 | |
Cigna
| Professional | $306.22 | $306.22 | $579.41 | |
Emblem Health
| Professional | $604.52 | $608.78 | $866.85 | |
Horizon BCBS
| Professional | $646.21 | $661.72 | $661.72 | |
United
| Professional | $274.35 | $330.12 | $661.72 |