| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,000.00 | $1,819.70 | $3,311.31 | |
Aetna
| Professional | $1,000.00 | $1,000.00 | $2,187.76 | |
Emblem Health
| Professional | $38,018.94 | $38,018.94 | $38,018.94 | |
Horizon BCBS
| Facility | $8,709.64 | $14,454.40 | $19,952.62 |