| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $159.83 | $159.83 | $159.83 | |
Aetna
| Professional | $159.83 | $194.23 | $277.37 | |
Cigna
| Facility | $245.61 | $271.77 | $434.94 | |
Cigna
| Professional | $198.39 | $198.39 | $380.85 | |
Emblem Health
| Professional | $397.35 | $400.14 | $569.77 | |
Horizon BCBS
| Professional | $413.98 | $434.94 | $434.94 | |
United
| Professional | $196.11 | $248.39 | $399.29 |