| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $178.00 | $203.00 | $632.00 | |
Ambetter
| Facility | $56.73 | $56.73 | $62.77 | |
Cigna
| Facility | $65.00 | $119.00 | $295.00 | |
Emblem Health
| Facility | $182.00 | $182.00 | $182.00 | |
Horizon BCBS
| Facility | $760.00 | $760.00 | $760.00 |