| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $291.11 | $291.11 | $291.11 | |
Aetna
| Professional | $291.11 | $353.76 | $515.05 | |
Cigna
| Facility | $525.23 | $525.23 | $792.16 | |
Cigna
| Professional | $383.42 | $383.42 | $693.64 | |
Emblem Health
| Professional | $723.68 | $728.79 | $1,037.73 | |
Horizon BCBS
| Professional | $753.99 | $792.16 | $792.16 | |
United
| Professional | $357.19 | $459.01 | $727.23 |