| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $167.62 | $2,095.00 | $7,838.38 | |
BCBS
| Facility | $136.91 | $502.06 | $818.10 | |
Providence
| Facility | $119.39 | $239.45 | $340.96 | |
United
| Facility | $230.00 | $1,084.00 | $1,401.00 |