| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $7.73 | $7.73 | $7.73 | |
BCBS
| Facility | $16.78 | $77,999.99 | $94,999.99 | |
Providence
| Facility | $7.91 | $9.31 | $9.31 | |
Providence
| Professional | $4.79 | $4.79 | $4.79 | |
United
| Professional | $10.17 | $10.17 | $10.17 |