| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $186.81 | $186.81 | $186.81 | |
Aetna
| Professional | $169.37 | $214.74 | $322.23 | |
Cigna
| Facility | $261.02 | $264.44 | $548.74 | |
Cigna
| Professional | $193.04 | $193.04 | $480.49 | |
Emblem Health
| Professional | $501.31 | $504.84 | $718.85 | |
Horizon BCBS
| Professional | $480.49 | $535.87 | $548.74 | |
United
| Professional | $192.54 | $273.76 | $503.76 |