| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $406.48 | $4,667.00 | $10,202.00 | |
Aetna
| Professional | $82.99 | $272.77 | $406.48 | |
Emblem Health
| Professional | $71.23 | $128.54 | $152.46 | |
Horizon BCBS
| Professional | $73.92 | $102.78 | $176.72 | |
United
| Facility | $1,529.00 | $3,352.00 | $10,536.00 | |
United
| Professional | $68.90 | $118.23 | $224.89 |