| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $10.98 | $10.98 | $753.00 | |
Aetna
| Professional | $13.77 | $20.09 | $22.89 | |
Horizon BCBS
| Facility | $196.20 | $214.08 | $408.26 | |
Horizon BCBS
| Professional | $19.38 | $22.80 | $23.80 | |
United
| Professional | $38.00 | $38.00 | $55.00 |