| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $371.30 | $861.69 | $4,007.20 | |
Aetna
| Professional | $371.30 | $525.41 | $595.48 | |
Emblem Health
| Professional | $735.59 | $917.73 | $1,276.42 | |
Horizon BCBS
| Facility | $8,702.00 | $8,702.00 | $8,702.00 | |
United
| Professional | $271.24 | $420.34 | $714.57 |