| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $52.85 | $57.50 | $62.02 | |
BCBS
| Facility | $64,999.99 | $81,499.99 | $94,999.99 | |
Providence
| Facility | $97.41 | $97.41 | $97.41 | |
Providence
| Professional | $62.11 | $93.18 | $134.40 |