| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $334.57 | $334.57 | $334.57 | |
Aetna
| Professional | $315.24 | $384.60 | $481.19 | |
Cigna
| Facility | $471.17 | $550.80 | $982.78 | |
Cigna
| Professional | $402.09 | $402.09 | $860.56 | |
Emblem Health
| Professional | $897.85 | $904.16 | $1,287.44 | |
Horizon BCBS
| Professional | $959.75 | $982.78 | $982.78 | |
United
| Professional | $346.98 | $490.30 | $982.78 |