| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $14,454.40 | $14,454.40 | $14,454.40 | |
Ambetter
| Facility | $1,737.80 | $1,737.80 | $3,235.94 | |
Horizon BCBS
| Facility | $1.78 | $177.83 | $25,118.86 |
Operating Room Services-Other OR services
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $14,454.40 | $14,454.40 | $14,454.40 | |
Ambetter
| Facility | $1,737.80 | $1,737.80 | $3,235.94 | |
Horizon BCBS
| Facility | $1.78 | $177.83 | $25,118.86 |