| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $187.30 | $187.30 | $187.30 | |
Aetna
| Professional | $187.30 | $244.36 | $322.33 | |
Cigna
| Facility | $313.27 | $335.34 | $550.16 | |
Cigna
| Professional | $244.80 | $244.80 | $481.75 | |
Emblem Health
| Professional | $502.63 | $506.16 | $720.72 | |
Horizon BCBS
| Professional | $523.66 | $550.16 | $550.16 | |
United
| Professional | $242.29 | $274.48 | $550.16 |