| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $63.01 | $4,025.00 | $9,784.00 | |
Aetna
| Professional | $45.89 | $87.50 | $127.09 | |
Horizon BCBS
| Professional | $115.79 | $136.22 | $136.22 | |
United
| Facility | $1,529.00 | $3,352.00 | $10,536.00 |