| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $379.68 | $498.90 | $767.41 | |
Aetna
| Professional | $170.31 | $200.36 | $200.36 | |
Horizon BCBS
| Professional | $140.18 | $165.35 | $297.63 | |
United
| Professional | $162.68 | $213.94 | $1,381.54 |