| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $277.48 | $2,145.78 | $7,838.38 | |
BCBS
| Facility | $147.18 | $539.67 | $879.40 | |
Providence
| Facility | $39.86 | $123.36 | $391.35 | |
United
| Facility | $418.00 | $2,516.00 | $2,877.00 |