| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $168,251.00 | $269,501.00 | $350,815.00 | |
AmeriHealth
| Facility | $23,228.63 | $23,228.63 | $23,228.63 | |
Emblem Health
| Facility | $4,817.00 | $4,817.00 | $99,999.00 | |
Horizon BCBS
| Facility | $130,112.00 | $197,610.00 | $299,481.00 | |
United
| Facility | $6,098.00 | $18,764.00 | $332,427.13 |