| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $583.57 | $2,145.78 | $7,838.38 | |
BCBS
| Facility | $1,276.17 | $4,679.46 | $7,625.12 | |
Providence
| Facility | $312.58 | $504.71 | $843.38 | |
United
| Facility | $418.00 | $2,516.00 | $2,877.00 |