| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $443.50 | $443.50 | $443.50 | |
Aetna
| Professional | $312.16 | $443.50 | $500.98 | |
BCBS
| Facility | $1,504.18 | $1,825.39 | $2,455.73 | |
BCBS
| Professional | $676.00 | $676.00 | $676.00 |