| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $400.69 | $438.52 | $7,838.38 | |
BCBS
| Facility | $318.57 | $1,168.13 | $1,903.46 | |
Providence
| Facility | $204.11 | $389.04 | $640.42 | |
United
| Facility | $230.00 | $1,158.00 | $1,401.00 |