| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $4,826.25 | $4,826.25 | $4,826.25 | |
Aetna
| Professional | $1,188.00 | $1,232.55 | $1,262.25 | |
BCBS
| Facility | $1,262.25 | $1,311.75 | $1,386.00 | |
BCBS
| Professional | $935.55 | $1,336.50 | $1,336.50 |