| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $17.07 | $17.07 | $753.00 | |
Aetna
| Professional | $12.29 | $16.53 | $19.46 | |
Horizon BCBS
| Facility | $261.20 | $313.30 | $636.32 | |
Horizon BCBS
| Professional | $15.46 | $18.19 | $18.70 | |
United
| Professional | $28.00 | $37.00 | $60.00 |