| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $89.46 | $89.46 | $89.46 | |
Aetna
| Professional | $47.06 | $89.46 | $89.46 | |
BCBS
| Facility | $219,999.78 | $539,999.46 | $949,999.05 | |
BCBS
| Professional | $110.49 | $146.22 | $162.47 |