| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $20.62 | $29.07 | $50.31 | |
Aetna
| Professional | $16.73 | $20.14 | $20.62 | |
Horizon BCBS
| Facility | $20.14 | $58.19 | $13,785.00 | |
Horizon BCBS
| Professional | $20.62 | $20.62 | $20.62 | |
United
| Professional | $14.04 | $19.64 | $22.45 |