| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,298.00 | $1,750.00 | $3,228.00 | |
BCBS
| Facility | $792.00 | $792.00 | $1,015.08 |
Loa/Reserved
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,298.00 | $1,750.00 | $3,228.00 | |
BCBS
| Facility | $792.00 | $792.00 | $1,015.08 |
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