| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $686.05 | $686.05 | $686.05 | |
Aetna
| Professional | $686.05 | $876.99 | $1,108.98 | |
Cigna
| Facility | $1,335.63 | $1,335.63 | $2,015.23 | |
Cigna
| Professional | $975.01 | $975.01 | $1,764.61 | |
Emblem Health
| Professional | $1,841.06 | $1,854.01 | $2,639.95 | |
Horizon BCBS
| Professional | $1,918.13 | $2,015.23 | $2,015.23 | |
United
| Professional | $835.51 | $1,005.38 | $2,015.23 |