| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $4,466.84 | $6,918.31 | $11,748.98 | |
Aetna
| Professional | $52.48 | $97.72 | $112.20 | |
Emblem Health
| Professional | $151.36 | $151.36 | $151.36 | |
Horizon BCBS
| Professional | $81.28 | $120.23 | $251.19 | |
United
| Facility | $1,412.54 | $2,884.03 | $7,762.47 | |
United
| Professional | $63.10 | $109.65 | $218.78 |