| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $171.85 | $171.85 | $171.85 | |
Aetna
| Professional | $155.81 | $197.55 | $227.38 | |
Cigna
| Facility | $236.57 | $236.57 | $504.79 | |
Cigna
| Professional | $172.70 | $172.70 | $438.75 | |
Emblem Health
| Professional | $461.16 | $464.41 | $661.27 | |
Horizon BCBS
| Professional | $480.47 | $504.79 | $504.79 | |
United
| Professional | $177.13 | $251.84 | $504.79 |