| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $309.88 | $4,294.00 | $9,950.00 | |
Aetna
| Professional | $138.99 | $258.89 | $312.58 | |
Horizon BCBS
| Professional | $242.95 | $327.94 | $639.55 | |
United
| Professional | $108.31 | $244.55 | $459.13 |