| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Facility | $780.20 | $925.88 | $1,974.97 | |
Emblem Health
| Professional | $55,249.45 | $55,249.45 | $55,249.45 | |
Horizon BCBS
| Facility | $788.38 | $884.01 | $976.93 | |
United
| Facility | $520.83 | $603.39 | $942.80 |