| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $37.15 | $37.15 | $37.15 | |
Aetna
| Professional | $34.67 | $37.15 | $89.13 | |
BCBS
| Professional | $38.90 | $40.74 | $40.74 | |
Providence
| Facility | $35.48 | $37.15 | $37.15 | |
Providence
| Professional | $7.59 | $7.59 | $7.59 |