| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $1,621.81 | $1,621.81 | $3,981.07 | |
BCBS
| Facility | $64,565.42 | $83,176.38 | $95,499.26 | |
Providence
| Facility | $1,621.81 | $3,981.07 | $6,760.83 | |
Providence
| Professional | $60.26 | $79.43 | $85.11 |