| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $157.44 | $4,294.00 | $9,860.00 | |
Aetna
| Professional | $112.79 | $172.32 | $303.10 | |
Cigna
| Professional | $105.19 | $186.49 | $399.69 | |
Emblem Health
| Professional | $214.16 | $290.31 | $331.01 | |
Horizon BCBS
| Facility | $878.95 | $878.95 | $971.34 | |
Horizon BCBS
| Professional | $124.31 | $202.93 | $304.83 | |
United
| Facility | $1,529.00 | $3,352.00 | $10,536.00 | |
United
| Professional | $120.61 | $210.76 | $432.82 |