| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $2,570.40 | $5,888.44 | $10,964.78 | |
Aetna
| Professional | $43.65 | $70.79 | $218.78 | |
Cigna
| Professional | $45.71 | $79.43 | $162.18 | |
Emblem Health
| Professional | $83.18 | $112.20 | $128.82 | |
Horizon BCBS
| Facility | $109.65 | $109.65 | $109.65 | |
Horizon BCBS
| Professional | $41.69 | $79.43 | $141.25 | |
United
| Facility | $1,412.54 | $3,019.95 | $7,762.47 | |
United
| Professional | $33.88 | $64.57 | $134.90 |