| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $2,052.69 | $5,131.72 | $22,153.60 | |
Aetna
| Professional | $2,052.69 | $3,020.94 | $3,292.05 | |
Cigna
| Facility | $3,785.86 | $5,721.37 | $12,195.32 | |
Emblem Health
| Professional | $4,066.65 | $5,073.63 | $7,056.61 | |
Horizon BCBS
| Facility | $2,711.10 | $2,711.10 | $8,702.00 | |
Horizon BCBS
| Professional | $2,711.10 | $2,711.10 | $2,711.10 | |
United
| Professional | $1,549.20 | $2,323.80 | $3,950.46 |