| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $40.47 | $40.47 | $40.47 | |
BCBS
| Facility | $64,999.99 | $81,499.99 | $94,999.99 | |
Providence
| Facility | $76.53 | $76.53 | $76.53 | |
Providence
| Professional | $41.41 | $62.12 | $89.60 |