| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $269.27 | $269.27 | $269.27 | |
Aetna
| Professional | $269.27 | $360.16 | $475.06 | |
Cigna
| Facility | $494.25 | $494.25 | $790.98 | |
Cigna
| Professional | $360.80 | $360.80 | $692.61 | |
Emblem Health
| Professional | $722.63 | $727.70 | $1,036.18 | |
Horizon BCBS
| Professional | $772.44 | $790.98 | $790.98 | |
United
| Professional | $356.66 | $394.61 | $790.98 |