| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $136.43 | $136.43 | $136.43 | |
Aetna
| Professional | $111.35 | $132.91 | $195.86 | |
Cigna
| Facility | $210.68 | $210.68 | $210.68 | |
Cigna
| Professional | $153.80 | $153.80 | $217.00 | |
Emblem Health
| Professional | $220.78 | $220.78 | $220.78 | |
Horizon BCBS
| Professional | $279.31 | $279.31 | $285.41 | |
United
| Professional | $141.46 | $165.69 | $279.51 |