| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $181,303.00 | $290,408.00 | $378,029.00 | |
Emblem Health
| Facility | $4,817.00 | $4,817.00 | $4,817.00 | |
Horizon BCBS
| Facility | $110,031.00 | $185,168.00 | $284,712.00 | |
United
| Facility | $6,098.00 | $19,347.00 | $358,215.48 |