| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $100.03 | $100.03 | $100.03 | |
Aetna
| Professional | $91.17 | $106.52 | $171.61 | |
Cigna
| Facility | $142.66 | $170.15 | $272.19 | |
Cigna
| Professional | $124.21 | $124.21 | $238.34 | |
Emblem Health
| Professional | $248.66 | $250.41 | $356.57 | |
Horizon BCBS
| Professional | $265.82 | $272.19 | $272.19 | |
United
| Professional | $122.21 | $135.79 | $272.19 |