| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $1,202.26 | $1,737.80 | $1,862.09 | |
Emblem Health
| Professional | $2,344.23 | $2,884.03 | $4,073.80 | |
Horizon BCBS
| Facility | $10,964.78 | $16,218.10 | $19,498.45 | |
Horizon BCBS
| Professional | $1,737.80 | $1,737.80 | $2,238.72 | |
United
| Professional | $912.01 | $1,318.26 | $2,344.23 |