| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $28.00 | $5,982.00 | $11,298.00 | |
Aetna
| Professional | $9.27 | $28.00 | $28.00 | |
Emblem Health
| Professional | $7.43 | $10.07 | $10.10 | |
Horizon BCBS
| Professional | $6.14 | $8.16 | $15.39 | |
United
| Professional | $4.62 | $5.89 | $8.44 |