| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $98.68 | $289.86 | $534.46 | |
Aetna
| Professional | $98.68 | $137.06 | $189.21 | |
Cigna
| Facility | $175.00 | $175.00 | $289.86 | |
Cigna
| Professional | $127.75 | $186.56 | $264.80 | |
Emblem Health
| Professional | $264.81 | $266.67 | $379.72 | |
Horizon BCBS
| Professional | $277.17 | $289.86 | $289.86 | |
United
| Facility | $300.68 | $353.74 | $424.49 | |
United
| Professional | $120.18 | $150.00 | $289.86 |