| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $609.07 | $2,095.00 | $7,838.38 | |
BCBS
| Facility | $770.41 | $2,824.96 | $4,603.22 | |
Providence
| Facility | $579.98 | $753.93 | $911.29 | |
United
| Facility | $230.00 | $1,158.00 | $1,327.00 |