| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $660.30 | $873.05 | $3,236.70 | |
Providence
| Facility | $492.27 | $676.87 | $1,118.89 | |
Providence
| Professional | $596.86 | $939.21 | $1,348.99 | |
United
| Professional | $836.12 | $996.23 | $1,138.55 |