| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $51.08 | $51.08 | $51.08 | |
Aetna
| Professional | $51.08 | $94.21 | $137.19 | |
Cigna
| Facility | $171.65 | $171.65 | $210.96 | |
Cigna
| Professional | $145.90 | $145.90 | $184.73 | |
Emblem Health
| Professional | $192.74 | $194.08 | $276.36 | |
Horizon BCBS
| Professional | $140.34 | $140.34 | $140.34 | |
United
| Professional | $95.13 | $120.48 | $210.96 |