| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $336.22 | $336.22 | $336.22 | |
Aetna
| Professional | $336.22 | $421.51 | $543.47 | |
Ambetter
| Professional | $712.15 | $712.15 | $712.15 | |
Cigna
| Facility | $710.11 | $710.11 | $987.62 | |
Cigna
| Professional | $518.38 | $518.38 | $1,173.00 | |
Emblem Health
| Professional | $902.27 | $908.61 | $1,293.78 | |
Horizon BCBS
| Professional | $964.47 | $987.62 | $987.62 | |
United
| Professional | $409.47 | $492.71 | $906.69 |