| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $389.05 | $741.31 | $7,762.47 | |
BCBS
| Facility | $741.31 | $1,621.81 | $2,570.40 | |
Providence
| Facility | $281.84 | $446.68 | $691.83 | |
United
| Facility | $416.87 | $2,511.89 | $3,090.30 |