| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $351.03 | $877.58 | $3,788.47 | |
Aetna
| Professional | $351.03 | $516.61 | $562.97 | |
Cigna
| Facility | $647.41 | $837.84 | $2,234.36 | |
Emblem Health
| Professional | $463.62 | $867.64 | $1,206.75 | |
Horizon BCBS
| Facility | $463.62 | $463.62 | $8,702.00 | |
Horizon BCBS
| Professional | $463.62 | $463.62 | $463.62 | |
United
| Professional | $278.17 | $397.39 | $675.57 |