| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,950.00 | $5,265.00 | $10,112.20 | |
Aetna
| Professional | $975.00 | $1,300.00 | $1,543.75 | |
Cigna
| Facility | $1,588.44 | $3,581.99 | $7,446.32 | |
Cigna
| Professional | $950.62 | $1,685.07 | $2,356.00 | |
Emblem Health
| Professional | $747.50 | $975.00 | $2,164.50 | |
Horizon BCBS
| Facility | $8,702.00 | $13,785.00 | $13,785.00 | |
Horizon BCBS
| Professional | $481.43 | $727.00 | $1,300.00 | |
United
| Facility | $893.75 | $893.75 | $893.75 | |
United
| Professional | $674.36 | $975.00 | $1,665.63 |