| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $977.24 | $977.24 | $3,388.44 | |
Aetna
| Professional | $446.68 | $602.56 | $691.83 | |
Horizon BCBS
| Facility | $138.04 | $10,471.29 | $25,703.96 | |
Horizon BCBS
| Professional | $588.84 | $707.95 | $758.58 | |
United
| Facility | $346.74 | $741.31 | $1,513.56 | |
United
| Professional | $309.03 | $446.68 | $776.25 |