| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $323.59 | $489.78 | $5,011.87 | |
BCBS
| Facility | $537.03 | $1,174.90 | $1,905.46 | |
Providence
| Facility | $245.47 | $389.05 | $616.60 | |
United
| Facility | $229.09 | $1,148.15 | $3,235.94 |