| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $497.70 | $497.70 | $497.70 | |
Aetna
| Professional | $229.63 | $229.63 | $497.70 | |
Horizon BCBS
| Facility | $432.15 | $458.23 | $832.64 | |
Horizon BCBS
| Professional | $6.38 | $7.50 | $7.50 |