| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $60.67 | $60.67 | $192.11 | |
Aetna
| Professional | $73.48 | $73.48 | $207.37 | |
BCBS
| Facility | $47,000.00 | $81,499.99 | $94,999.99 | |
Providence
| Professional | $27.85 | $27.85 | $84.35 | |
United
| Professional | $34.14 | $34.40 | $81.92 |