| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $954.99 | $5,623.41 | $10,471.29 | |
Aetna
| Professional | $331.13 | $707.95 | $1,905.46 | |
Ambetter
| Professional | $147.91 | $575.44 | $707.95 | |
AmeriHealth
| Professional | $380.19 | $758.58 | $4,168.69 | |
Cigna
| Professional | $331.13 | $645.65 | $1,348.96 | |
Emblem Health
| Professional | $72.44 | $245.47 | $954.99 | |
Horizon BCBS
| Facility | $1,348.96 | $2,041.74 | $3,311.31 | |
Horizon BCBS
| Professional | $295.12 | $660.69 | $1,148.15 | |
United
| Facility | $1,412.54 | $3,019.95 | $7,762.47 | |
United
| Professional | $239.88 | $457.09 | $1,148.15 |