| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $720.65 | $5,000.27 | $7,838.38 | |
BCBS
| Facility | $829.38 | $2,871.92 | $4,456.54 | |
Providence
| Facility | $363.80 | $771.88 | $1,024.58 | |
United
| Facility | $418.00 | $2,516.00 | $2,877.00 |