| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $831.91 | $831.91 | $831.91 | |
Aetna
| Professional | $506.16 | $777.99 | $905.80 | |
Cigna
| Professional | $818.96 | $818.96 | $818.96 | |
Emblem Health
| Professional | $956.89 | $1,297.11 | $1,357.55 | |
Horizon BCBS
| Facility | $4,024.24 | $4,447.22 | $8,481.31 | |
Horizon BCBS
| Professional | $669.84 | $788.05 | $828.11 | |
United
| Professional | $463.66 | $803.97 | $1,640.22 |