| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $237.18 | $460.13 | $913.08 | |
Aetna
| Professional | $181.46 | $221.89 | $239.09 | |
Horizon BCBS
| Professional | $170.28 | $234.31 | $328.18 | |
United
| Professional | $146.30 | $226.69 | $374.02 |