| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $231.88 | $231.88 | $231.88 | |
Aetna
| Professional | $120.98 | $179.46 | $231.88 | |
BCBS
| Facility | $1,417.53 | $1,720.24 | $2,314.28 | |
BCBS
| Professional | $241.00 | $241.00 | $241.00 |