| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $7.73 | $7.73 | $7.73 | |
BCBS
| Facility | $47,000.00 | $81,499.99 | $94,999.99 | |
Providence
| Facility | $7.91 | $9.31 | $9.31 | |
Providence
| Professional | $2.88 | $2.88 | $2.88 | |
United
| Facility | $1.17 | $5.87 | $5.87 | |
United
| Professional | $9.77 | $9.77 | $9.77 |