| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $34.67 | $45.71 | $457.09 | |
BCBS
| Professional | $501.19 | $501.19 | $501.19 | |
Providence
| Facility | $44.67 | $50.12 | $3,311.31 | |
Providence
| Professional | $70.79 | $389.05 | $549.54 | |
United
| Professional | $50.12 | $60.26 | $81.28 |