| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $2,374.87 | $4,638.41 | $25,965.94 | |
Aetna
| Professional | $2,374.87 | $2,374.87 | $2,374.87 | |
BCBS
| Professional | $45.60 | $49.76 | $60.00 | |
Medcost
| Facility | $2,374.87 | $2,374.87 | $2,849.84 | |
Wellcare
| Facility | $80.00 | $100.00 | $100.00 |