| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $178.15 | $5,009.00 | $9,842.00 | |
Aetna
| Professional | $132.29 | $198.93 | $345.22 | |
Cigna
| Professional | $119.50 | $215.92 | $467.93 | |
Emblem Health
| Professional | $243.12 | $329.56 | $375.43 | |
Horizon BCBS
| Facility | $783.87 | $971.34 | $1,972.74 | |
Horizon BCBS
| Professional | $146.40 | $230.72 | $362.12 | |
United
| Facility | $1,529.00 | $3,352.00 | $10,536.00 | |
United
| Professional | $136.82 | $230.72 | $466.77 |