| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $36.71 | $36.71 | $36.71 | |
Aetna
| Professional | $28.00 | $34.31 | $36.72 | |
Emblem Health
| Professional | $40.22 | $62.03 | $116.21 | |
Horizon BCBS
| Professional | $25.03 | $37.09 | $59.86 | |
United
| Facility | $1,685.00 | $7,250.00 | $10,536.00 | |
United
| Professional | $25.76 | $35.33 | $72.48 |