| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $199.64 | $2,145.78 | $7,838.38 | |
BCBS
| Facility | $1,546.18 | $5,354.03 | $8,308.17 | |
Providence
| Facility | $188.73 | $256.64 | $318.33 | |
United
| Facility | $559.00 | $3,503.00 | $5,060.00 |