| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $1,653.45 | $2,487.77 | $2,882.17 | |
Emblem Health
| Professional | $3,033.86 | $3,488.94 | $4,770.74 | |
Horizon BCBS
| Professional | $2,123.69 | $2,123.69 | $2,123.69 | |
United
| Professional | $1,259.02 | $1,820.32 | $3,033.86 |