| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $235.75 | $235.75 | $235.75 | |
Aetna
| Professional | $235.75 | $301.37 | $394.45 | |
Cigna
| Facility | $380.61 | $408.71 | $692.53 | |
Cigna
| Professional | $298.36 | $298.36 | $606.40 | |
Emblem Health
| Professional | $632.66 | $637.13 | $907.21 | |
Horizon BCBS
| Professional | $659.16 | $692.53 | $692.53 | |
United
| Professional | $296.30 | $345.49 | $692.53 |