| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $68.87 | $4,294.00 | $9,950.00 | |
Aetna
| Professional | $46.75 | $68.87 | $132.15 | |
Cigna
| Professional | $48.96 | $84.85 | $154.31 | |
Emblem Health
| Professional | $98.93 | $134.10 | $148.57 | |
Horizon BCBS
| Professional | $53.69 | $91.47 | $133.41 | |
United
| Facility | $1,529.00 | $3,352.00 | $10,536.00 | |
United
| Professional | $52.55 | $93.16 | $178.43 |