| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $160.44 | $160.44 | $160.44 | |
Aetna
| Professional | $160.44 | $194.98 | $283.88 | |
Cigna
| Facility | $318.35 | $318.35 | $436.60 | |
Cigna
| Professional | $232.40 | $232.40 | $382.31 | |
Emblem Health
| Professional | $398.87 | $401.67 | $571.95 | |
Horizon BCBS
| Professional | $426.37 | $436.60 | $436.60 | |
United
| Professional | $196.86 | $220.19 | $363.03 |