| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $191.38 | $191.38 | $191.38 | |
Aetna
| Professional | $191.38 | $238.18 | $364.79 | |
Cigna
| Facility | $340.42 | $340.42 | $520.77 | |
Cigna
| Professional | $248.51 | $248.51 | $456.00 | |
Emblem Health
| Professional | $475.76 | $479.11 | $682.21 | |
Horizon BCBS
| Professional | $495.67 | $520.77 | $520.77 | |
United
| Professional | $239.11 | $266.08 | $478.08 |