| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,300.00 | $1,300.00 | $1,300.00 | |
Aetna
| Professional | $1,000.00 | $1,000.00 | $1,460.84 | |
BCBS
| Facility | $644.50 | $687.25 | $809.58 | |
BCBS
| Professional | $0.02 | $0.02 | $0.02 |