| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $0.36 | $0.36 | $0.36 | |
Aetna
| Professional | $0.36 | $0.36 | $0.36 | |
Horizon BCBS
| Facility | $91.06 | $106.77 | $236.86 | |
Horizon BCBS
| Professional | $1,000,000.00 | $1,000,000.00 | $1,000,000.00 |