| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $2,570.40 | $5,495.41 | $10,964.78 | |
Aetna
| Professional | $147.91 | $218.78 | $588.84 | |
Cigna
| Professional | $151.36 | $251.19 | $501.19 | |
Emblem Health
| Professional | $251.19 | $338.84 | $389.05 | |
Horizon BCBS
| Facility | $812.83 | $1,288.25 | $2,041.74 | |
Horizon BCBS
| Professional | $141.25 | $257.04 | $436.52 | |
United
| Facility | $1,380.38 | $2,884.03 | $7,762.47 | |
United
| Professional | $97.72 | $173.78 | $398.11 |