| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $10,481.79 | $10,481.79 | $10,481.79 | |
Aetna
| Professional | $47.86 | $1,456.81 | $1,456.81 | |
BCBS
| Facility | $64,999.99 | $81,499.99 | $94,999.99 | |
BCBS
| Professional | $154.59 | $154.59 | $154.59 |