| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $252.02 | $4,294.00 | $9,950.00 | |
Aetna
| Professional | $168.38 | $333.59 | $877.58 | |
Ambetter
| Professional | $409.55 | $409.55 | $409.55 | |
AmeriHealth
| Professional | $434.57 | $521.65 | $689.66 | |
Cigna
| Professional | $171.68 | $377.06 | $730.36 | |
Emblem Health
| Professional | $24.00 | $268.25 | $659.87 | |
Horizon BCBS
| Professional | $180.66 | $395.53 | $605.00 | |
United
| Facility | $1,529.00 | $3,352.00 | $10,536.00 | |
United
| Professional | $198.43 | $395.53 | $767.59 |