| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $130.38 | $4,540.00 | $10,202.00 | |
Aetna
| Professional | $107.16 | $124.28 | $199.56 | |
Cigna
| Professional | $129.15 | $177.98 | $361.17 | |
Emblem Health
| Professional | $123.40 | $171.28 | $211.87 | |
Horizon BCBS
| Facility | $486.18 | $527.73 | $663.08 | |
Horizon BCBS
| Professional | $116.54 | $154.13 | $283.04 | |
United
| Facility | $1,529.00 | $3,352.00 | $10,536.00 | |
United
| Professional | $107.05 | $149.11 | $371.23 |