| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $258.80 | $258.80 | $258.80 | |
Aetna
| Professional | $258.80 | $313.89 | $513.55 | |
Cigna
| Facility | $527.25 | $527.25 | $704.24 | |
Cigna
| Professional | $384.89 | $384.89 | $616.65 | |
Emblem Health
| Professional | $643.38 | $647.90 | $922.55 | |
Horizon BCBS
| Professional | $687.73 | $704.24 | $704.24 | |
United
| Professional | $316.94 | $381.21 | $646.53 |