| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $831.76 | $831.76 | $831.76 | |
Aetna
| Professional | $426.58 | $741.31 | $912.01 | |
Cigna
| Professional | $812.83 | $812.83 | $812.83 | |
Emblem Health
| Professional | $1,122.02 | $1,548.82 | $1,621.81 | |
Horizon BCBS
| Facility | $3,981.07 | $5,888.44 | $9,549.93 | |
Horizon BCBS
| Professional | $707.95 | $812.83 | $1,096.48 | |
United
| Facility | $3,981.07 | $7,244.36 | $8,709.64 | |
United
| Professional | $67.61 | $758.58 | $1,548.82 |