| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $64,918.00 | $103,985.00 | $135,359.00 | |
Emblem Health
| Facility | $4,817.00 | $4,817.00 | $4,817.00 | |
Horizon BCBS
| Facility | $52,153.00 | $83,636.00 | $133,207.24 | |
United
| Facility | $6,098.00 | $19,347.00 | $128,264.06 |