| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $70.33 | $144.10 | $216.91 | |
Aetna
| Professional | $40.02 | $51.31 | $56.44 | |
BCBS
| Facility | $68.76 | $68.76 | $91,999.99 | |
BCBS
| Professional | $68.76 | $68.76 | $68.76 | |
Providence
| Professional | $46.18 | $51.31 | $64.14 | |
United
| Professional | $21.55 | $21.55 | $51.31 |