| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $5.01 | $5.01 | $25.12 | |
BCBS
| Facility | $64,565.42 | $83,176.38 | $95,499.26 | |
Providence
| Facility | $5.62 | $31.62 | $204.17 | |
Providence
| Professional | $79.43 | $79.43 | $125.89 | |
United
| Professional | $125.89 | $125.89 | $125.89 |