| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,961.00 | $2,451.00 | $3,965.00 | |
BCBS
| Facility | $297.50 | $315.00 | $374.50 |
Loa/Reserved
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,961.00 | $2,451.00 | $3,965.00 | |
BCBS
| Facility | $297.50 | $315.00 | $374.50 |