| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $316.23 | $371.54 | $371.54 | |
Cigna
| Facility | $186.21 | $218.78 | $251.19 | |
Emblem Health
| Facility | $3,019.95 | $3,162.28 | $3,162.28 | |
Fidelis
| Facility | $36.31 | $100.00 | $120.23 |