| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $3,009.00 | $28,855.60 | $43,602.80 | |
Emblem Health
| Facility | $4,817.00 | $4,817.00 | $4,817.00 | |
Horizon BCBS
| Facility | $1,972.00 | $3,050.00 | $6,429.00 | |
United
| Facility | $6,098.00 | $18,764.00 | $44,503.78 |