| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $173.78 | $173.78 | $173.78 | |
Aetna
| Professional | $181.97 | $245.47 | $398.11 | |
Cigna
| Facility | $257.04 | $363.08 | $478.63 | |
Cigna
| Professional | $269.15 | $269.15 | $363.08 | |
Emblem Health
| Professional | $309.03 | $501.19 | $691.83 | |
Horizon BCBS
| Professional | $467.74 | $467.74 | $467.74 | |
United
| Facility | $165.96 | $331.13 | $501.19 | |
United
| Professional | $213.80 | $245.47 | $380.19 |