| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,250.00 | $3,833.00 | $6,917.00 | |
Aetna
| Professional | $1,250.00 | $1,250.00 | $1,250.00 | |
BCBS
| Facility | $166.78 | $256.47 | $846.87 | |
BCBS
| Professional | $1,526.99 | $1,737.64 | $1,792.24 |