| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $59.12 | $59.12 | $59.12 | |
Aetna
| Professional | $59.12 | $71.19 | $97.91 | |
Cigna
| Facility | $90.24 | $99.32 | $160.90 | |
Cigna
| Professional | $72.50 | $72.50 | $140.88 | |
Emblem Health
| Professional | $146.99 | $148.03 | $210.78 | |
Horizon BCBS
| Professional | $153.15 | $160.90 | $160.90 | |
United
| Professional | $72.55 | $80.27 | $132.94 |