| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $295.12 | $295.12 | $295.12 | |
Aetna
| Professional | $316.23 | $446.68 | $776.25 | |
Ambetter
| Professional | $186.21 | $645.65 | $954.99 | |
Cigna
| Facility | $501.19 | $501.19 | $812.83 | |
Cigna
| Professional | $363.08 | $363.08 | $501.19 | |
Emblem Health
| Professional | $537.03 | $851.14 | $1,174.90 | |
Horizon BCBS
| Professional | $794.33 | $794.33 | $794.33 | |
United
| Facility | $524.81 | $794.33 | $1,096.48 | |
United
| Professional | $363.08 | $426.58 | $660.69 |