| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $287.55 | $287.55 | $287.55 | |
Aetna
| Professional | $287.55 | $335.30 | $514.85 | |
Cigna
| Facility | $485.57 | $485.57 | $782.47 | |
Cigna
| Professional | $354.47 | $354.47 | $685.16 | |
Emblem Health
| Professional | $714.85 | $719.87 | $1,025.04 | |
Horizon BCBS
| Professional | $744.77 | $782.47 | $782.47 | |
United
| Professional | $352.82 | $394.62 | $646.51 |