| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $48.71 | $48.71 | $753.00 | |
Aetna
| Professional | $48.71 | $89.65 | $131.69 | |
Horizon BCBS
| Facility | $3,258.77 | $3,601.29 | $7,809.33 | |
Horizon BCBS
| Professional | $97.78 | $100.95 | $118.45 |