| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $93.21 | $101.40 | $111.55 | |
BCBS
| Facility | $64,999.99 | $81,499.99 | $94,999.99 | |
BCBS
| Professional | $150.00 | $150.00 | $150.00 | |
Providence
| Facility | $172.04 | $172.04 | $172.04 | |
Providence
| Professional | $112.25 | $168.40 | $242.90 |