| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $468.00 | $468.00 | $1,156.00 | |
Horizon BCBS
| Facility | $300.00 | $300.00 | $1,095.00 |
All Inclusive Ancillary - General Classification
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $468.00 | $468.00 | $1,156.00 | |
Horizon BCBS
| Facility | $300.00 | $300.00 | $1,095.00 |