| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $171.61 | $225.49 | $346.81 | |
Aetna
| Professional | $76.98 | $90.56 | $90.56 | |
Horizon BCBS
| Professional | $63.52 | $74.73 | $132.21 | |
United
| Professional | $69.61 | $88.62 | $158.02 |