| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $112.19 | $4,118.00 | $9,842.00 | |
Aetna
| Professional | $92.74 | $145.60 | $210.16 | |
Cigna
| Professional | $113.52 | $203.96 | $501.03 | |
Emblem Health
| Professional | $179.55 | $247.31 | $1,339.77 | |
Horizon BCBS
| Facility | $1,621.54 | $1,683.65 | $3,210.89 | |
Horizon BCBS
| Professional | $94.53 | $167.59 | $350.09 | |
United
| Facility | $2,354.00 | $3,961.00 | $10,536.00 | |
United
| Professional | $138.87 | $229.52 | $598.83 |