| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $136.28 | $136.28 | $136.28 | |
Aetna
| Professional | $136.28 | $182.27 | $252.37 | |
Cigna
| Facility | $248.88 | $252.60 | $400.31 | |
Cigna
| Professional | $184.40 | $184.40 | $466.50 | |
Emblem Health
| Professional | $365.71 | $368.29 | $524.41 | |
Horizon BCBS
| Professional | $390.93 | $400.31 | $400.31 | |
United
| Professional | $169.26 | $199.71 | $367.50 |