| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $16.57 | $16.57 | $33.15 | |
Aetna
| Professional | $0.98 | $0.98 | $0.99 | |
BCBS
| Facility | $64,999.99 | $81,499.99 | $94,999.99 | |
Providence
| Facility | $0.28 | $0.28 | $1.01 | |
United
| Professional | $1.04 | $1.04 | $1.04 |