| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $488.92 | $5,000.27 | $7,838.38 | |
BCBS
| Facility | $441.09 | $1,617.39 | $2,431.96 | |
Providence
| Facility | $303.20 | $493.45 | $761.28 | |
United
| Facility | $418.00 | $2,516.00 | $2,877.00 |