| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $89.13 | $89.13 | $89.13 | |
Aetna
| Professional | $64.57 | $85.11 | $91.20 | |
BCBS
| Professional | $72.44 | $72.44 | $81.28 | |
Providence
| Facility | $87.10 | $91.20 | $91.20 | |
Providence
| Professional | $16.98 | $16.98 | $16.98 |