| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
BCBS
| Professional | $87.15 | $102.53 | $102.53 | |
Providence
| Facility | $48.71 | $63.70 | $86.84 | |
Providence
| Professional | $45.00 | $45.00 | $94.68 | |
United
| Professional | $94.00 | $112.00 | $127.38 |