| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $159.91 | $4,294.00 | $9,950.00 | |
Aetna
| Professional | $118.30 | $177.81 | $334.23 | |
Cigna
| Professional | $106.39 | $194.50 | $418.04 | |
Emblem Health
| Professional | $215.83 | $292.57 | $333.75 | |
Horizon BCBS
| Facility | $935.50 | $971.34 | $2,106.33 | |
Horizon BCBS
| Professional | $130.81 | $205.22 | $305.64 | |
United
| Facility | $1,529.00 | $3,352.00 | $10,536.00 | |
United
| Professional | $110.84 | $205.22 | $414.11 |