| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,539.00 | $5,559.00 | $10,202.00 | |
Aetna
| Professional | $27.58 | $35.18 | $35.18 | |
Horizon BCBS
| Facility | $1,200.99 | $1,692.05 | $3,227.16 | |
United
| Facility | $1,529.00 | $3,352.00 | $10,536.00 |