| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $203.88 | $203.88 | $203.88 | |
Aetna
| Professional | $203.88 | $234.36 | $302.41 | |
Cigna
| Facility | $313.79 | $313.79 | $598.89 | |
Cigna
| Professional | $229.07 | $229.07 | $524.41 | |
Emblem Health
| Professional | $547.11 | $550.98 | $784.55 | |
Horizon BCBS
| Professional | $584.85 | $598.89 | $598.89 | |
United
| Professional | $226.43 | $298.77 | $598.89 |