| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $173.78 | $173.78 | $173.78 | |
Aetna
| Professional | $181.97 | $213.80 | $354.81 | |
Cigna
| Facility | $251.19 | $251.19 | $524.81 | |
Cigna
| Professional | $181.97 | $181.97 | $251.19 | |
Emblem Health
| Professional | $338.84 | $549.54 | $758.58 | |
Horizon BCBS
| Professional | $512.86 | $512.86 | $512.86 | |
United
| Facility | $151.36 | $346.74 | $524.81 | |
United
| Professional | $199.53 | $257.04 | $398.11 |