| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $95.93 | $1,250.00 | $4,077.21 | |
Aetna
| Professional | $93.22 | $99.03 | $111.55 | |
Emblem Health
| Professional | $94.44 | $127.49 | $165.27 | |
Horizon BCBS
| Facility | $3,601.29 | $3,601.29 | $6,868.01 | |
Horizon BCBS
| Professional | $94.68 | $111.08 | $114.70 |