| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $90.00 | $4,667.00 | $10,202.00 | |
Aetna
| Professional | $81.44 | $95.43 | $248.63 | |
Emblem Health
| Professional | $71.23 | $129.91 | $152.46 | |
Horizon BCBS
| Professional | $72.90 | $100.15 | $174.29 | |
United
| Facility | $1,529.00 | $3,352.00 | $10,536.00 | |
United
| Professional | $60.75 | $109.49 | $218.70 |