| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $54,108.60 | $86,670.40 | $112,820.00 | |
Emblem Health
| Facility | $4,817.00 | $4,817.00 | $4,817.00 | |
Horizon BCBS
| Facility | $37,768.00 | $59,478.00 | $90,663.00 | |
United
| Facility | $6,098.00 | $19,347.00 | $106,907.00 |