| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $4,049.00 | $6,249.99 | $10,871.00 | |
Aetna
| Professional | $461.94 | $6,249.99 | $6,249.99 | |
Cigna
| Professional | $393.53 | $651.57 | $1,441.84 | |
Emblem Health
| Professional | $486.92 | $681.06 | $842.37 | |
Horizon BCBS
| Professional | $359.86 | $523.67 | $891.23 | |
United
| Facility | $1,627.00 | $6,590.00 | $10,536.00 | |
United
| Professional | $315.73 | $494.36 | $1,032.48 |