| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $141.25 | $1,288.25 | $1,288.25 | |
Aetna
| Professional | $194.98 | $251.19 | $338.84 | |
Horizon BCBS
| Facility | $6,760.83 | $10,471.29 | $16,595.87 | |
Horizon BCBS
| Professional | $245.47 | $281.84 | $416.87 |