| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $152.03 | $4,294.00 | $9,950.00 | |
Aetna
| Professional | $135.04 | $150.88 | $299.45 | |
Cigna
| Professional | $108.46 | $195.16 | $371.50 | |
Emblem Health
| Professional | $190.69 | $258.49 | $273.27 | |
Horizon BCBS
| Professional | $153.88 | $200.84 | $273.20 | |
United
| Facility | $1,529.00 | $3,352.00 | $10,536.00 | |
United
| Professional | $104.74 | $177.21 | $364.11 |