| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $234.03 | $234.03 | $234.03 | |
Aetna
| Professional | $234.03 | $284.39 | $406.13 | |
Cigna
| Facility | $362.06 | $397.94 | $636.84 | |
Cigna
| Professional | $290.50 | $290.50 | $557.64 | |
Emblem Health
| Professional | $581.79 | $585.89 | $834.26 | |
Horizon BCBS
| Professional | $621.91 | $636.84 | $636.84 | |
United
| Professional | $287.14 | $340.41 | $636.84 |