| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $234.42 | $4,677.35 | $10,715.19 | |
Aetna
| Professional | $169.82 | $229.09 | $524.81 | |
Cigna
| Professional | $177.83 | $288.40 | $707.95 | |
Emblem Health
| Professional | $234.42 | $281.84 | $416.87 | |
Horizon BCBS
| Facility | $4,073.80 | $5,888.44 | $9,549.93 | |
Horizon BCBS
| Professional | $141.25 | $251.19 | $537.03 | |
United
| Facility | $2,570.40 | $5,128.61 | $8,709.64 | |
United
| Professional | $114.82 | $194.98 | $398.11 |