| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $658.09 | $974.88 | $1,139.23 | |
Emblem Health
| Professional | $123.23 | $123.23 | $123.23 | |
Horizon BCBS
| Professional | $949.75 | $1,117.34 | $1,588.22 | |
United
| Professional | $48.09 | $754.99 | $1,637.68 |