| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $4,466.84 | $10,715.19 | $22,908.68 | |
Aetna
| Professional | $380.19 | $478.63 | $1,905.46 | |
Cigna
| Professional | $416.87 | $645.65 | $1,548.82 | |
Emblem Health
| Professional | $457.09 | $588.84 | $707.95 | |
Horizon BCBS
| Professional | $338.84 | $467.74 | $1,071.52 | |
United
| Facility | $1,698.24 | $5,888.44 | $10,471.29 | |
United
| Professional | $371.54 | $501.19 | $1,148.15 |