| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $193.67 | $193.67 | $193.67 | |
Aetna
| Professional | $193.67 | $242.81 | $313.07 | |
Cigna
| Facility | $325.37 | $325.37 | $568.90 | |
Cigna
| Professional | $237.52 | $325.37 | $498.15 | |
Emblem Health
| Professional | $519.73 | $523.39 | $745.26 | |
Horizon BCBS
| Professional | $555.57 | $568.90 | $568.90 | |
United
| Professional | $235.87 | $286.45 | $522.28 |