| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $214.30 | $5,000.27 | $7,838.38 | |
BCBS
| Facility | $136.91 | $503.87 | $818.10 | |
Providence
| Facility | $161.94 | $286.68 | $403.02 | |
United
| Facility | $230.00 | $1,158.00 | $1,401.00 |