| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $722.74 | $722.74 | $722.74 | |
Aetna
| Professional | $722.74 | $923.88 | $1,168.28 | |
Cigna
| Facility | $1,407.05 | $1,407.05 | $2,123.00 | |
Cigna
| Professional | $1,027.15 | $1,027.15 | $2,521.50 | |
Emblem Health
| Professional | $1,939.51 | $1,953.16 | $2,781.13 | |
Horizon BCBS
| Professional | $1,858.97 | $2,123.00 | $2,123.00 | |
United
| Professional | $880.20 | $1,059.14 | $1,949.01 |