| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $1,659.59 | $2,454.71 | $2,570.40 | |
Emblem Health
| Professional | $3,162.28 | $3,981.07 | $5,623.41 | |
Horizon BCBS
| Facility | $13,803.84 | $16,218.10 | $19,498.45 | |
Horizon BCBS
| Professional | $2,137.96 | $2,137.96 | $2,137.96 | |
United
| Professional | $1,258.93 | $1,819.70 | $3,162.28 |