| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $117.00 | $4,370.00 | $10,871.00 | |
Aetna
| Professional | $82.96 | $129.75 | $307.45 | |
Cigna
| Professional | $85.76 | $143.03 | $329.81 | |
Emblem Health
| Professional | $185.42 | $251.34 | $286.58 | |
Horizon BCBS
| Facility | $783.87 | $971.34 | $2,106.33 | |
Horizon BCBS
| Professional | $91.66 | $180.52 | $266.69 | |
United
| Facility | $1,529.00 | $3,352.00 | $10,536.00 | |
United
| Professional | $81.59 | $167.53 | $354.35 |