| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $361.33 | $361.33 | $361.33 | |
Aetna
| Professional | $361.33 | $461.89 | $584.05 | |
Cigna
| Facility | $607.01 | $607.01 | $1,061.39 | |
Cigna
| Professional | $443.12 | $607.01 | $929.38 | |
Emblem Health
| Professional | $969.65 | $976.48 | $1,390.42 | |
Horizon BCBS
| Professional | $1,036.51 | $1,061.39 | $1,061.39 | |
United
| Professional | $440.05 | $545.84 | $974.39 |