| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $178.00 | $203.00 | $632.00 | |
Ambetter
| Facility | $165.71 | $165.71 | $165.71 | |
Cigna
| Facility | $65.00 | $118.45 | $295.00 | |
Emblem Health
| Facility | $104.00 | $182.00 | $208.00 | |
Horizon BCBS
| Facility | $56.00 | $70.00 | $245.00 |