| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $379.98 | $6,325.00 | $11,298.00 | |
Aetna
| Professional | $281.76 | $343.49 | $405.00 | |
Horizon BCBS
| Professional | $272.81 | $353.69 | $587.32 | |
United
| Professional | $236.56 | $376.18 | $707.12 |