| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $185.30 | $430.03 | $1,999.83 | |
Aetna
| Professional | $185.30 | $262.22 | $297.18 | |
Emblem Health
| Professional | $367.10 | $458.00 | $637.01 | |
Horizon BCBS
| Facility | $1,165.00 | $13,785.00 | $13,785.00 | |
United
| Facility | $192.29 | $314.66 | $419.54 | |
United
| Professional | $139.85 | $209.77 | $356.61 |