| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $240.35 | $240.35 | $240.35 | |
Aetna
| Professional | $240.35 | $268.86 | $506.09 | |
Cigna
| Facility | $353.39 | $382.03 | $654.04 | |
Cigna
| Professional | $278.88 | $278.88 | $572.70 | |
Emblem Health
| Professional | $597.52 | $601.72 | $856.79 | |
Horizon BCBS
| Professional | $638.71 | $654.04 | $654.04 | |
United
| Professional | $293.66 | $349.61 | $654.04 |