| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $27.58 | $27.58 | $27.58 | |
BCBS
| Facility | $47,000.00 | $77,999.99 | $94,999.99 | |
Providence
| Facility | $27.58 | $27.58 | $27.58 | |
Providence
| Professional | $2,250,000.00 | $2,250,000.00 | $2,250,000.00 |