| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $34.67 | $45.71 | $323.59 | |
Providence
| Facility | $44.67 | $50.12 | $3,311.31 | |
Providence
| Professional | $70.79 | $257.04 | $389.05 | |
United
| Professional | $50.12 | $60.26 | $81.28 |