| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $592.99 | $5,982.00 | $10,871.00 | |
Aetna
| Professional | $286.52 | $495.62 | $592.99 | |
Horizon BCBS
| Professional | $425.75 | $611.70 | $990.51 | |
United
| Facility | $1,627.00 | $6,590.00 | $10,536.00 | |
United
| Professional | $203.80 | $538.46 | $1,145.42 |