| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $2,480.00 | $2,480.00 | $2,480.00 | |
Aetna
| Professional | $2,480.00 | $2,480.00 | $2,480.00 | |
BCBS
| Facility | $87.10 | $100.00 | $1,450.57 | |
BCBS
| Professional | $0.02 | $0.02 | $0.03 |