| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $322.73 | $322.73 | $322.73 | |
Aetna
| Professional | $322.73 | $352.88 | $551.41 | |
Cigna
| Facility | $462.96 | $589.44 | $878.20 | |
Cigna
| Professional | $430.29 | $430.29 | $768.99 | |
Emblem Health
| Professional | $802.31 | $807.94 | $1,150.44 | |
Horizon BCBS
| Professional | $857.62 | $878.20 | $878.20 | |
United
| Professional | $394.31 | $469.44 | $878.20 |