| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $3,814.25 | $3,814.25 | $3,814.25 | |
Aetna
| Professional | $3,814.25 | $3,814.25 | $3,814.25 | |
BCBS
| Facility | $219,999.78 | $539,999.46 | $949,999.05 | |
BCBS
| Professional | $238.50 | $315.67 | $350.74 |