| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $10.00 | $323.33 | $753.27 | |
AmeriHealth
| Professional | $278.25 | $278.25 | $278.25 | |
Cigna
| Facility | $167.92 | $308.23 | $538.54 | |
Emblem Health
| Professional | $55,249.45 | $55,249.45 | $55,249.45 | |
Horizon BCBS
| Facility | $260.50 | $322.80 | $367.01 |