| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $328.31 | $328.31 | $328.31 | |
Aetna
| Professional | $328.31 | $421.37 | $530.67 | |
Cigna
| Facility | $551.53 | $551.53 | $964.39 | |
Cigna
| Professional | $402.62 | $402.62 | $844.45 | |
Emblem Health
| Professional | $881.04 | $887.24 | $1,263.34 | |
Horizon BCBS
| Professional | $917.92 | $964.39 | $964.39 | |
United
| Professional | $399.83 | $481.12 | $964.39 |