| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $172.32 | $4,174.00 | $9,860.00 | |
Aetna
| Professional | $146.37 | $268.37 | $449.25 | |
AmeriHealth
| Professional | $364.63 | $364.63 | $364.63 | |
Cigna
| Professional | $156.68 | $390.88 | $941.32 | |
Emblem Health
| Professional | $242.39 | $434.07 | $510.35 | |
Horizon BCBS
| Professional | $108.22 | $291.18 | $528.39 | |
United
| Facility | $1,529.00 | $3,352.00 | $10,536.00 | |
United
| Professional | $265.56 | $377.79 | $912.20 |