| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $473.64 | $5,000.27 | $7,838.38 | |
BCBS
| Facility | $318.57 | $1,168.13 | $1,903.46 | |
Providence
| Facility | $319.22 | $463.43 | $740.19 | |
United
| Facility | $559.00 | $3,503.00 | $5,060.00 |