| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $318.61 | $318.61 | $318.61 | |
Aetna
| Professional | $169.72 | $318.61 | $318.61 | |
BCBS
| Facility | $1,417.53 | $1,720.24 | $2,314.28 | |
BCBS
| Professional | $222.00 | $222.00 | $222.00 |