| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $234.06 | $234.06 | $753.00 | |
Aetna
| Professional | $234.06 | $351.95 | $435.37 | |
Horizon BCBS
| Facility | $3,002.18 | $4,094.55 | $7,809.33 | |
Horizon BCBS
| Professional | $369.39 | $434.58 | $447.51 |