| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $569.55 | $569.55 | $569.55 | |
Aetna
| Professional | $569.55 | $692.14 | $1,007.69 | |
Cigna
| Facility | $886.63 | $886.63 | $1,549.90 | |
Cigna
| Professional | $647.24 | $647.24 | $1,357.14 | |
Emblem Health
| Professional | $1,415.94 | $1,425.91 | $2,030.37 | |
Horizon BCBS
| Professional | $1,513.57 | $1,549.90 | $1,549.90 | |
United
| Professional | $698.84 | $815.46 | $1,549.90 |