| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $201.70 | $201.70 | $201.70 | |
Aetna
| Professional | $201.70 | $247.57 | $326.02 | |
Cigna
| Facility | $325.37 | $325.37 | $568.90 | |
Cigna
| Professional | $237.52 | $237.52 | $675.75 | |
Emblem Health
| Professional | $519.73 | $523.39 | $745.26 | |
Horizon BCBS
| Professional | $555.57 | $568.90 | $568.90 | |
United
| Professional | $259.77 | $283.82 | $473.03 |