| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $33.11 | $501.19 | $501.19 | |
Aetna
| Professional | $30.20 | $45.71 | $724.44 | |
Cigna
| Professional | $346.74 | $575.44 | $812.83 | |
Emblem Health
| Facility | $524.81 | $524.81 | $524.81 | |
Emblem Health
| Professional | $154.88 | $562.34 | $933.25 | |
Horizon BCBS
| Professional | $331.13 | $371.54 | $912.01 | |
United
| Professional | $52.48 | $70.79 | $109.65 |