| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $3,311.31 | $5,888.44 | $10,964.78 | |
Aetna
| Professional | $63.10 | $89.13 | $245.47 | |
Emblem Health
| Professional | $70.79 | $117.49 | $162.18 | |
Horizon BCBS
| Professional | $72.44 | $109.65 | $229.09 | |
United
| Facility | $1,412.54 | $2,884.03 | $7,762.47 | |
United
| Professional | $56.23 | $100.00 | $199.53 |