| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $2,290.87 | $5,495.41 | $10,964.78 | |
Aetna
| Professional | $112.20 | $177.83 | $380.19 | |
Cigna
| Professional | $117.49 | $199.53 | $426.58 | |
Emblem Health
| Professional | $213.80 | $288.40 | $331.13 | |
Horizon BCBS
| Facility | $812.83 | $1,288.25 | $2,041.74 | |
Horizon BCBS
| Professional | $109.65 | $208.93 | $363.08 | |
United
| Facility | $1,380.38 | $2,884.03 | $7,762.47 | |
United
| Professional | $74.13 | $141.25 | $331.13 |