| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $494.71 | $494.71 | $494.71 | |
Aetna
| Professional | $494.71 | $632.39 | $799.70 | |
Cigna
| Facility | $831.10 | $831.10 | $1,453.18 | |
Cigna
| Professional | $606.70 | $831.10 | $1,272.46 | |
Emblem Health
| Professional | $1,327.58 | $1,336.93 | $1,903.67 | |
Horizon BCBS
| Professional | $1,383.16 | $1,453.18 | $1,453.18 | |
United
| Professional | $602.50 | $724.97 | $1,453.18 |