| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $182.63 | $182.63 | $182.63 | |
Aetna
| Professional | $137.51 | $157.34 | $184.36 | |
Horizon BCBS
| Professional | $131.12 | $163.00 | $282.29 | |
United
| Professional | $139.41 | $186.67 | $373.61 |