| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $2,769.04 | $6,922.60 | $29,884.70 | |
Aetna
| Professional | $2,769.04 | $4,075.19 | $4,440.91 | |
Cigna
| Facility | $5,107.05 | $7,718.14 | $16,451.78 | |
Emblem Health
| Professional | $3,657.22 | $6,844.23 | $9,519.21 | |
Horizon BCBS
| Facility | $3,657.22 | $3,657.22 | $12,381.00 | |
Horizon BCBS
| Professional | $3,657.22 | $3,657.22 | $3,657.22 | |
United
| Professional | $2,194.33 | $3,134.76 | $5,329.09 |