| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $257.04 | $295.12 | $371.54 | |
Cigna
| Facility | $186.21 | $199.53 | $234.42 | |
Emblem Health
| Facility | $3,019.95 | $3,162.28 | $3,162.28 | |
Fidelis
| Facility | $177.83 | $239.88 | $416.87 |