| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $80.48 | $80.48 | $231.00 | |
Aetna
| Professional | $80.48 | $102.89 | $130.10 | |
Cigna
| Facility | $135.22 | $135.22 | $236.42 | |
Cigna
| Professional | $98.72 | $135.22 | $207.02 | |
Emblem Health
| Professional | $215.99 | $217.51 | $309.70 | |
Horizon BCBS
| Professional | $207.02 | $230.88 | $236.42 | |
United
| Professional | $98.03 | $117.95 | $236.42 |