| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $128.44 | $128.44 | $128.44 | |
Aetna
| Professional | $128.44 | $156.09 | $227.22 | |
Cigna
| Facility | $231.66 | $231.66 | $349.53 | |
Cigna
| Professional | $169.11 | $169.11 | $306.06 | |
Emblem Health
| Professional | $319.32 | $321.57 | $457.88 | |
Horizon BCBS
| Professional | $341.34 | $349.53 | $349.53 | |
United
| Professional | $157.60 | $181.40 | $320.89 |