| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $213.80 | $213.80 | $213.80 | |
Ambetter
| Facility | $141.25 | $190.55 | $338.84 | |
AmeriHealth
| Facility | $389.05 | $389.05 | $389.05 | |
Horizon BCBS
| Facility | $1.26 | $45.71 | $1,819.70 |