| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $203.23 | $1,268.00 | $2,250.00 | |
Aetna
| Professional | $150.22 | $203.23 | $203.23 | |
BCBS
| Facility | $2,559.86 | $3,106.51 | $4,179.26 | |
BCBS
| Professional | $160.30 | $215.94 | $251.90 |