| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $430.25 | $430.25 | $430.25 | |
Aetna
| Professional | $430.25 | $550.53 | $696.17 | |
Cigna
| Facility | $723.52 | $723.52 | $1,265.07 | |
Cigna
| Professional | $528.16 | $528.16 | $1,107.74 | |
Emblem Health
| Professional | $1,155.74 | $1,163.85 | $1,657.24 | |
Horizon BCBS
| Professional | $1,235.42 | $1,265.07 | $1,265.07 | |
United
| Professional | $569.86 | $631.13 | $1,265.07 |