| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $51.87 | $71.33 | $82.80 | |
Horizon BCBS
| Facility | $51.97 | $51.97 | $54.04 | |
Horizon BCBS
| Professional | $51.01 | $60.01 | $88.42 | |
United
| Professional | $37.65 | $47.78 | $98.37 |