| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $977.24 | $1,000.00 | $4,570.88 | |
Aetna
| Professional | $457.09 | $616.60 | $758.58 | |
Cigna
| Facility | $741.31 | $1,659.59 | $1,659.59 | |
Emblem Health
| Professional | $794.33 | $1,000.00 | $1,659.59 | |
Horizon BCBS
| Facility | $134.90 | $10,471.29 | $26,302.68 | |
Horizon BCBS
| Professional | $537.03 | $537.03 | $537.03 | |
United
| Facility | $354.81 | $758.58 | $1,548.82 | |
United
| Professional | $302.00 | $457.09 | $794.33 |