| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $604.41 | $604.41 | $604.41 | |
Aetna
| Professional | $51.12 | $51.12 | $604.41 | |
Horizon BCBS
| Facility | $131.54 | $150.35 | $310.58 | |
Horizon BCBS
| Professional | $1,000,000.00 | $1,000,000.00 | $1,000,000.00 |