| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $304.11 | $304.11 | $304.11 | |
Aetna
| Professional | $104.22 | $104.22 | $304.11 | |
Horizon BCBS
| Facility | $280.25 | $352.87 | $735.71 | |
Horizon BCBS
| Professional | $1,000,000.00 | $1,000,000.00 | $1,000,000.00 |