| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $5,011.87 | $5,011.87 | $5,011.87 | |
Emblem Health
| Professional | $724.44 | $851.14 | $851.14 | |
Horizon BCBS
| Facility | $134.90 | $11,481.54 | $25,118.86 | |
Horizon BCBS
| Professional | $851.14 | $851.14 | $851.14 | |
United
| Professional | $891.25 | $891.25 | $933.25 |