| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $90.21 | $4,667.00 | $10,202.00 | |
Aetna
| Professional | $66.88 | $76.83 | $96.21 | |
Emblem Health
| Professional | $110.90 | $110.90 | $110.90 | |
Horizon BCBS
| Professional | $64.76 | $93.06 | $193.51 | |
United
| Facility | $1,529.00 | $3,352.00 | $10,536.00 | |
United
| Professional | $58.54 | $100.83 | $202.57 |