| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $101.94 | $7,838.38 | $8,763.29 | |
BCBS
| Facility | $4,552.54 | $16,307.81 | $25,305.82 | |
Providence
| Facility | $98.55 | $149.41 | $212.50 | |
United
| Facility | $230.00 | $1,158.00 | $1,401.00 |