| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $329.75 | $1,201.99 | $7,838.38 | |
Aetna
| Facility | 52 | $107.02 | $107.02 | $271.58 |
BCBS
| Facility | $1,513.51 | $3,500.77 | $5,612.95 | |
Providence
| Facility | $226.33 | $646.65 | $969.46 | |
United
| Facility | $6,602.00 | $9,127.00 | $10,150.00 |