| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $604,559.00 | $968,374.00 | $1,260,550.00 | |
Emblem Health
| Facility | $4,817.00 | $4,817.00 | $99,999.00 | |
Horizon BCBS
| Facility | $451,012.00 | $596,778.00 | $926,740.00 | |
United
| Facility | $6,098.00 | $7,521.00 | $9,186.00 |