| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $95.50 | $2,398.83 | $2,511.89 | |
BCBS
| Facility | $64,565.42 | $83,176.38 | $95,499.26 | |
Providence
| Facility | $95.50 | $114.82 | $2,511.89 | |
Providence
| Professional | $60.26 | $79.43 | $85.11 |