| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $353.32 | $353.33 | $987.88 | |
Aetna
| Professional | $353.33 | $406.16 | $489.18 | |
Cigna
| Facility | $579.51 | $579.51 | $1,037.89 | |
Cigna
| Professional | $423.04 | $579.51 | $878.08 | |
Emblem Health
| Professional | $948.18 | $954.86 | $1,359.64 | |
Horizon BCBS
| Professional | $1,013.56 | $1,037.89 | $1,037.89 | |
United
| Professional | $406.33 | $517.79 | $1,037.89 |