| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $60.00 | $60.00 | $60.00 | |
Aetna
| Professional | $60.00 | $80.26 | $109.07 | |
Cigna
| Facility | $102.20 | $110.15 | $176.27 | |
Cigna
| Professional | $80.41 | $80.41 | $154.35 | |
Emblem Health
| Professional | $161.03 | $162.16 | $230.91 | |
Horizon BCBS
| Professional | $172.14 | $176.27 | $176.27 | |
United
| Professional | $79.40 | $87.94 | $161.83 |