| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $2,290.87 | $5,495.41 | $10,964.78 | |
Aetna
| Professional | $83.18 | $131.83 | $371.54 | |
Cigna
| Professional | $85.11 | $144.54 | $309.03 | |
Emblem Health
| Professional | $154.88 | $208.93 | $239.88 | |
Horizon BCBS
| Facility | $398.11 | $645.65 | $1,000.00 | |
Horizon BCBS
| Professional | $79.43 | $154.88 | $263.03 | |
United
| Facility | $1,318.26 | $2,884.03 | $7,762.47 | |
United
| Professional | $53.70 | $102.33 | $239.88 |