| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $310.00 | $775.00 | $3,345.63 | |
Aetna
| Professional | $310.00 | $456.22 | $497.17 | |
Cigna
| Facility | $571.74 | $863.91 | $1,841.73 | |
Emblem Health
| Professional | $409.43 | $766.22 | $1,065.69 | |
Horizon BCBS
| Facility | $8,702.00 | $8,702.00 | $8,702.00 | |
United
| Facility | $731.12 | $731.12 | $731.12 | |
United
| Professional | $226.46 | $350.94 | $701.88 |