| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $557,317.93 | $557,317.93 | $3,399,640.00 | |
Aetna
| Professional | $557,317.93 | $557,317.93 | $562,891.11 | |
Horizon BCBS
| Facility | $8,702.00 | $13,785.00 | $2,042,012.90 | |
Horizon BCBS
| Professional | $427,890.00 | $541,260.44 | $541,260.44 |