| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $137.87 | $2,333.50 | $7,770.00 | |
Aetna
| Professional | $72.17 | $267.00 | $600.04 | |
AmeriHealth
| Facility | $4,973.35 | $4,973.35 | $4,973.35 | |
Cigna
| Facility | $150.88 | $150.88 | $150.88 | |
Cigna
| Professional | $96.22 | $386.54 | $1,524.86 | |
Emblem Health
| Professional | $146.76 | $560.29 | $689.55 | |
Horizon BCBS
| Professional | $67.84 | $455.43 | $855.14 | |
United
| Facility | $1,529.00 | $3,352.00 | $10,536.00 | |
United
| Professional | $217.93 | $535.79 | $1,142.63 |