| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $81.59 | $5,982.00 | $11,298.00 | |
Aetna
| Professional | $27.27 | $90.02 | $112.37 | |
Emblem Health
| Professional | $76.56 | $139.44 | $164.00 | |
Horizon BCBS
| Professional | $79.84 | $110.22 | $207.55 | |
United
| Facility | $1,529.00 | $3,352.00 | $10,536.00 | |
United
| Professional | $82.06 | $130.56 | $242.91 |