| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $249.34 | $249.34 | $249.34 | |
Aetna
| Professional | $249.34 | $303.00 | $464.32 | |
Cigna
| Facility | $388.66 | $472.30 | $678.50 | |
Cigna
| Professional | $344.78 | $344.78 | $594.12 | |
Emblem Health
| Professional | $619.85 | $624.22 | $888.84 | |
Horizon BCBS
| Professional | $594.12 | $645.79 | $678.50 | |
United
| Professional | $305.93 | $356.92 | $678.50 |