| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $262.25 | $392.08 | $392.08 | |
Aetna
| Professional | $171.15 | $171.15 | $392.08 | |
Horizon BCBS
| Facility | $661.19 | $788.18 | $1,683.72 | |
Horizon BCBS
| Professional | $6.38 | $7.50 | $7.50 |