| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $16.67 | $16.67 | $753.00 | |
Aetna
| Professional | $16.67 | $23.87 | $36.06 | |
Horizon BCBS
| Facility | $252.85 | $313.30 | $636.32 | |
Horizon BCBS
| Professional | $27.81 | $32.72 | $33.60 | |
United
| Professional | $60.00 | $68.00 | $83.00 |