| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $294.73 | $294.73 | $294.73 | |
Aetna
| Professional | $294.73 | $376.57 | $573.37 | |
Cigna
| Facility | $528.74 | $528.74 | $802.02 | |
Cigna
| Professional | $385.98 | $385.98 | $702.28 | |
Emblem Health
| Professional | $732.70 | $737.86 | $1,050.65 | |
Horizon BCBS
| Professional | $763.37 | $802.02 | $802.02 | |
United
| Professional | $369.94 | $421.90 | $736.30 |