| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $2,901.86 | $6,734.50 | $31,318.10 | |
Aetna
| Professional | $2,901.86 | $4,106.39 | $4,653.92 | |
Cigna
| Facility | $5,352.01 | $8,088.18 | $17,240.33 | |
Emblem Health
| Professional | $3,832.64 | $7,172.51 | $9,975.81 | |
Horizon BCBS
| Facility | $3,346.00 | $3,346.00 | $8,702.00 | |
United
| Professional | $2,190.08 | $3,285.12 | $5,612.08 |