| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $250.18 | $250.18 | $250.18 | |
Aetna
| Professional | $250.18 | $299.74 | $433.13 | |
Cigna
| Facility | $392.33 | $419.41 | $680.80 | |
Cigna
| Professional | $306.17 | $306.17 | $895.13 | |
Emblem Health
| Professional | $621.95 | $626.34 | $891.85 | |
Horizon BCBS
| Professional | $664.84 | $680.80 | $680.80 | |
United
| Professional | $305.68 | $363.90 | $680.80 |