| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $178.28 | $178.28 | $178.28 | |
Aetna
| Professional | $178.28 | $216.65 | $315.42 | |
Cigna
| Facility | $321.50 | $321.50 | $485.15 | |
Cigna
| Professional | $234.70 | $234.70 | $576.38 | |
Emblem Health
| Professional | $443.21 | $446.34 | $635.54 | |
Horizon BCBS
| Professional | $461.77 | $485.15 | $485.15 | |
United
| Professional | $218.75 | $262.60 | $485.15 |