| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $272.69 | $272.69 | $272.69 | |
Emblem Health
| Professional | $368.18 | $368.18 | $368.18 | |
Horizon BCBS
| Facility | $515.96 | $585.95 | $639.35 | |
Horizon BCBS
| Professional | $148.55 | $197.55 | $295.44 | |
United
| Professional | $137.05 | $196.74 | $324.64 |