| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,245.00 | $1,615.00 | $10,924.00 | |
Aetna
| Professional | $50.90 | $1,245.00 | $1,615.00 | |
BCBS
| Professional | $49.76 | $75.00 | $100.00 | |
Wellcare
| Facility | $100.00 | $100.00 | $100.00 |