| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $213.83 | $213.83 | $213.83 | |
Aetna
| Professional | $199.75 | $227.71 | $321.73 | |
Cigna
| Facility | $305.51 | $335.84 | $581.88 | |
Cigna
| Professional | $245.16 | $245.16 | $601.88 | |
Emblem Health
| Professional | $531.59 | $535.33 | $762.26 | |
Horizon BCBS
| Professional | $568.24 | $581.88 | $581.88 | |
United
| Professional | $236.85 | $290.29 | $534.19 |