| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $264.81 | $264.81 | $264.81 | |
Aetna
| Professional | $264.81 | $355.51 | $500.98 | |
Horizon BCBS
| Facility | $13,180.88 | $14,382.16 | $31,187.56 | |
Horizon BCBS
| Professional | $409.73 | $482.04 | $496.39 |