| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $192.23 | $5,000.27 | $7,838.38 | |
BCBS
| Facility | $155.84 | $571.41 | $931.11 | |
Providence
| Facility | $133.66 | $184.63 | $300.08 | |
United
| Facility | $230.00 | $1,158.00 | $1,401.00 |