| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $70.00 | $70.00 | $77.00 | |
BCBS
| Professional | $94.00 | $94.00 | $94.00 | |
Providence
| Facility | $56.63 | $70.00 | $70.00 | |
Providence
| Professional | $28.14 | $42.22 | $2,250,000.00 |