| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $4,294.00 | $6,986.00 | $12,831.00 | |
Aetna
| Professional | $1,648.22 | $2,331.83 | $4,404.71 | |
Emblem Health
| Professional | $1,868.16 | $1,868.16 | $1,868.16 | |
Horizon BCBS
| Professional | $1,017.48 | $1,197.04 | $2,597.84 | |
United
| Facility | $5,682.00 | $10,536.00 | $23,291.00 | |
United
| Professional | $1,057.97 | $1,662.42 | $3,694.42 |