| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $23.96 | $29.28 | $42.15 | |
Emblem Health
| Professional | $69.97 | $69.97 | $69.97 | |
Horizon BCBS
| Facility | $86.34 | $86.34 | $86.34 | |
Horizon BCBS
| Professional | $33.49 | $39.40 | $50.97 | |
United
| Professional | $28.24 | $35.38 | $67.34 |