| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $610.70 | $610.70 | $610.70 | |
Aetna
| Professional | $610.70 | $737.70 | $1,094.63 | |
Cigna
| Facility | $964.08 | $1,324.18 | $1,661.84 | |
Cigna
| Professional | $966.65 | $966.65 | $1,455.16 | |
Emblem Health
| Professional | $1,518.21 | $1,528.89 | $2,177.01 | |
Horizon BCBS
| Professional | $1,622.89 | $1,661.84 | $1,661.84 | |
United
| Facility | $640.00 | $640.00 | $640.00 | |
United
| Professional | $749.33 | $888.31 | $1,661.84 |