| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $132.71 | $132.71 | $132.71 | |
Aetna
| Professional | $132.71 | $161.27 | $234.79 | |
Cigna
| Facility | $239.35 | $239.35 | $361.13 | |
Cigna
| Professional | $174.73 | $174.73 | $429.00 | |
Emblem Health
| Professional | $329.92 | $332.24 | $473.08 | |
Horizon BCBS
| Professional | $352.67 | $361.13 | $361.13 | |
United
| Professional | $162.83 | $194.05 | $361.13 |