| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $227.27 | $227.27 | $227.27 | |
Aetna
| Professional | $220.82 | $261.26 | $326.49 | |
Cigna
| Facility | $328.44 | $328.44 | $667.62 | |
Cigna
| Professional | $239.76 | $239.76 | $640.87 | |
Emblem Health
| Professional | $609.91 | $614.21 | $874.58 | |
Horizon BCBS
| Professional | $651.97 | $667.62 | $667.62 | |
United
| Professional | $238.10 | $333.07 | $667.62 |