| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $1,005.41 | $1,479.66 | $1,612.45 | |
Emblem Health
| Professional | $5,435.00 | $6,250.25 | $8,546.54 | |
Horizon BCBS
| Professional | $3,804.50 | $3,804.50 | $3,804.50 | |
United
| Professional | $796.74 | $1,138.20 | $5,435.00 |