| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $321.29 | $5,000.27 | $7,838.38 | |
Aetna
| Facility | 52 | $84.21 | $84.21 | $160.65 |
BCBS
| Facility | $1,439.53 | $3,500.77 | $5,612.95 | |
Providence
| Facility | $162.04 | $206.24 | $459.77 | |
United
| Facility | $3,085.00 | $3,085.00 | $4,616.00 |