| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $47.86 | $1,288.25 | $1,288.25 | |
Aetna
| Professional | $77.62 | $120.23 | $154.88 | |
Horizon BCBS
| Facility | $3,162.28 | $4,786.30 | $7,585.78 | |
Horizon BCBS
| Professional | $97.72 | $114.82 | $169.82 |