| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $239.88 | $239.88 | $316.23 | |
BCBS
| Facility | $64,565.42 | $83,176.38 | $95,499.26 | |
Providence
| Facility | $229.09 | $269.15 | $478.63 | |
Providence
| Professional | $60.26 | $79.43 | $85.11 |