| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $114.82 | $263.03 | $7,762.47 | |
BCBS
| Facility | $1,445.44 | $3,467.37 | $5,495.41 | |
Providence
| Facility | $102.33 | $173.78 | $354.81 | |
United
| Facility | $562.34 | $4,265.80 | $7,244.36 |