| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $137.46 | $180.63 | $277.85 | |
Aetna
| Professional | $61.66 | $72.54 | $72.54 | |
Horizon BCBS
| Facility | $2,360.00 | $2,360.00 | $15,719.00 | |
Horizon BCBS
| Professional | $50.75 | $59.87 | $105.91 | |
United
| Professional | $25.40 | $71.00 | $137.51 |