| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $56.77 | $56.77 | $753.00 | |
Aetna
| Professional | $56.77 | $106.13 | $114.86 | |
Horizon BCBS
| Facility | $3,369.74 | $4,595.84 | $8,765.42 | |
Horizon BCBS
| Professional | $98.40 | $115.77 | $119.22 |