| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $78,464.39 | $125,683.00 | $163,604.00 | |
AmeriHealth
| Facility | $23,758.81 | $23,758.81 | $23,758.81 | |
Emblem Health
| Facility | $4,817.00 | $4,817.00 | $4,817.00 | |
Horizon BCBS
| Facility | $62,793.00 | $94,266.00 | $144,334.00 | |
United
| Facility | $6,098.00 | $19,347.00 | $155,028.84 |