| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $255.24 | $1,360.54 | $7,838.38 | |
BCBS
| Facility | $280.75 | $677.68 | $1,128.32 | |
Providence
| Facility | $122.66 | $156.11 | $166.18 | |
United
| Facility | $775.00 | $1,327.00 | $1,327.00 |