| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $344.16 | $5,000.27 | $7,838.38 | |
BCBS
| Facility | $1,513.51 | $3,500.77 | $5,612.95 | |
Providence
| Facility | $199.51 | $253.93 | $533.76 | |
United
| Facility | $3,085.00 | $3,085.00 | $4,616.00 |