| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $322.33 | $805.83 | $3,478.73 | |
Aetna
| Professional | $322.33 | $474.37 | $516.94 | |
Cigna
| Facility | $594.49 | $898.26 | $1,915.36 | |
Emblem Health
| Professional | $638.58 | $796.70 | $1,108.08 | |
Horizon BCBS
| Facility | $425.72 | $425.72 | $8,702.00 | |
Horizon BCBS
| Professional | $425.72 | $425.72 | $425.72 | |
United
| Professional | $255.43 | $364.90 | $656.82 |