| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $380.19 | $562.34 | $602.56 | |
Emblem Health
| Professional | $741.31 | $912.01 | $1,318.26 | |
Horizon BCBS
| Facility | $13,803.84 | $16,218.10 | $28,183.83 | |
Horizon BCBS
| Professional | $562.34 | $562.34 | $707.95 | |
United
| Professional | $295.12 | $426.58 | $741.31 |