| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $217.47 | $217.47 | $217.47 | |
Aetna
| Professional | $217.47 | $264.27 | $405.97 | |
Cigna
| Facility | $344.72 | $400.78 | $591.78 | |
Cigna
| Professional | $292.57 | $292.57 | $518.19 | |
Emblem Health
| Professional | $540.64 | $544.44 | $775.23 | |
Horizon BCBS
| Professional | $577.91 | $591.78 | $591.78 | |
United
| Professional | $266.83 | $340.10 | $591.78 |