| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $288.40 | $1,047.13 | $7,762.47 | |
BCBS
| Facility | $1,548.82 | $5,495.41 | $8,709.64 | |
Providence
| Facility | $194.98 | $269.15 | $398.11 | |
United
| Facility | $562.34 | $4,265.80 | $7,079.46 |