| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $187.65 | $187.65 | $187.65 | |
Aetna
| Professional | $187.65 | $235.25 | $303.36 | |
Cigna
| Facility | $315.25 | $315.25 | $551.21 | |
Cigna
| Professional | $230.13 | $230.13 | $529.13 | |
Emblem Health
| Professional | $503.57 | $507.11 | $722.09 | |
Horizon BCBS
| Professional | $538.29 | $551.21 | $551.21 | |
United
| Professional | $228.53 | $274.99 | $551.21 |