| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $309.03 | $309.03 | $309.03 | |
BCBS
| Facility | $1,905.46 | $2,137.96 | $4,073.80 |
All Inclusive Ancillary-Basic
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $309.03 | $309.03 | $309.03 | |
BCBS
| Facility | $1,905.46 | $2,137.96 | $4,073.80 |
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