| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $142.19 | $142.19 | $753.00 | |
Aetna
| Professional | $142.19 | $247.31 | $269.10 | |
Horizon BCBS
| Facility | $6,362.84 | $7,134.65 | $17,097.55 | |
Horizon BCBS
| Professional | $239.96 | $282.30 | $290.70 |