| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $182.21 | $182.21 | $211.40 | |
Aetna
| Professional | $182.21 | $233.85 | $323.64 | |
Cigna
| Facility | $321.89 | $336.03 | $535.20 | |
Cigna
| Professional | $245.30 | $245.30 | $635.63 | |
Emblem Health
| Professional | $488.96 | $492.38 | $701.11 | |
Horizon BCBS
| Professional | $522.66 | $535.20 | $535.20 | |
United
| Professional | $221.91 | $273.02 | $535.20 |