| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $100,460.00 | $160,915.00 | $209,466.00 | |
Emblem Health
| Facility | $4,817.00 | $4,817.00 | $4,817.00 | |
Horizon BCBS
| Facility | $43,596.00 | $71,607.00 | $121,510.00 | |
United
| Facility | $6,909.00 | $59,535.46 | $193,055.03 |