| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $357.25 | $357.25 | $357.25 | |
Aetna
| Professional | $357.25 | $456.68 | $634.54 | |
Cigna
| Facility | $731.38 | $731.38 | $1,049.40 | |
Cigna
| Professional | $533.91 | $533.91 | $918.89 | |
Emblem Health
| Professional | $958.70 | $965.45 | $1,374.71 | |
Horizon BCBS
| Professional | $918.89 | $1,024.80 | $1,049.40 | |
United
| Professional | $435.08 | $523.53 | $1,049.40 |