| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $165.18 | $2,145.78 | $7,838.38 | |
BCBS
| Facility | $56,799.99 | $68,899.99 | $81,099.99 | |
Providence
| Facility | $162.57 | $228.52 | $468.25 | |
United
| Facility | $790.00 | $9,127.00 | $13,891.00 |