| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $117.61 | $117.61 | $117.61 | |
Aetna
| Professional | $117.61 | $164.06 | $215.88 | |
Cigna
| Facility | $199.51 | $215.87 | $345.48 | |
Cigna
| Professional | $157.59 | $157.59 | $302.51 | |
Emblem Health
| Professional | $315.62 | $317.83 | $452.58 | |
Horizon BCBS
| Professional | $337.38 | $345.48 | $345.48 | |
United
| Professional | $155.62 | $174.31 | $345.48 |