| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $147.21 | $4,174.00 | $9,860.00 | |
Aetna
| Professional | $105.49 | $163.26 | $353.56 | |
Cigna
| Professional | $98.13 | $175.80 | $373.66 | |
Emblem Health
| Professional | $199.12 | $269.91 | $308.33 | |
Horizon BCBS
| Facility | $402.71 | $483.09 | $981.13 | |
Horizon BCBS
| Professional | $116.51 | $189.43 | $282.14 | |
United
| Facility | $1,529.00 | $3,352.00 | $10,536.00 | |
United
| Professional | $112.63 | $187.50 | $368.30 |